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If any person in the household is using this medicine improperly or without a prescription. For treating your chronic pain. Talk to your healthcare professional to find out if Ultram could be the right choice for treating your chronic pain. The brain and spinal cord to reduce the amount of pain. Stop if Tramadol is combined with alcohol or narcotic drugs. Ultram is a prescription medication that is designed to relieve your pain. It was prescribed for. Tramadol can cause side effects that may impair your thinking or reactions. Tramadol, the generic version of Ultram, which is the same medication and has the same dosages.