Patient was educated on the side effects of using Ultram as follows: Hepatic damage Ultram intake can lead to hepatic injury, thus compromising liver function. Risk for hepatic damage multiples many fold, when Ultram is taken with alcohol. Hepatic injury and altered liver function can result in increased bilirubin levels in the body, resulting in itching, jaundice with yellowing of skin and sclera, dark urine, altered metabolism with nausea and vomiting, pain in the right [...]

Patient was educated on the side effects of using Ultram as follows: Nausea, vomiting, and dry mouth These are some of the most common side effects of Ultram. Taking Ultram with some food can minimize the effects of nausea and vomiting. Liberal intake of water with Ultram helps preventing a dry mouth. Constipation Ultram slows down the bowel movements heavily and leads to constipation. Constipation is one of the most common and unpleasant side effects [...]

Patient was educated on how to take Ultram as follows: Ultram pill with or without food along with a full 8 oz. glass of water. Taking the medication with food helps prevent any nauseating sensation. Drink 6 to 8 full glasses of water daily, while you are taking Ultram. Liberal intake of water with Ultram helps prevent constipation, which is one of the major side effects of Ultram. Evenly space out the doses of pain [...]

Patient was educated on Ultram and its mechanism of action as follows: Ultram is a synthetic opioid pain reliever. Ultram binds with the opioid receptors in the brain, blocks the release of excitatory neurotransmitters, such as, substance P, which are involved with pain production, and inhibits pain transmission. Ultram is used to treat moderate to severe pain. Ultram can be very addictive and cause dependence. Sudden stopping of Ultram intake can result in serious withdrawal [...]