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Q: What are the side effects of the long-term use of Ultram? A: Ultram (tramadol) is a narcotic-like pain reliever that is used to treat moderate to severe pain. Common side effects of Ultram include dizziness, drowsiness, weakness, nausea, vomiting, constipation, loss of appetite, blurred vision, flushing, and insomnia. Ultram can cause side effects that impair your thinking and reactions. So, use caution when doing anything that requires alertness.
It works by binding to the μ-opioid receptor and by acting as a serotonin–norepinephrine reuptake inhibitor (SNRI).[8][9] Tramadol is in the opioid class of analgesics.[10] In the body it is converted to desmetramadol, which is a more potent opioid.[11]
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