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Ultram vs. Codeine

Are Codeine and Ultram the Same Thing?

Ultram (tramadol) and Codeine (codeine sulfate) are both opiates. Codeine is made from the poppy plant, just like morphine, heroin, and opium. Tramadol is chemically similar to codeine, but it's synthesized from precursor molecules in a lab. Many doctors like it because it has a lower potential for addiction than other opioids, though that doesn't mean it's non-addictive.

Both Ultram and Codeine are used to treat moderate pain, and codeine is also approved as a cough suppressant. Though both are less potent than other opioids like oxycodone and morphine, Ultram and Codeine are still narcotics and have a potential for physical and psychological addiction, accompanied by severe withdrawal symptoms if stopped abruptly.

These drugs work by mimicking the natural opioids produced in the body, which govern pain sensation, reward, aspects of gastrointestinal function, aspects of respiratory function, and aspects of urogenital function. Molecules of Ultram and Codeine plug into receptors on nerve cells designed for natural opioids, and thereby control pain.

Side effects for both drugs - aside from potential addiction and withdrawal - may include dizziness, confusion, sedation, constipation and others.

Neither tramadol nor codeine should be taken with alcohol or other sedatives or tranquilizers because they may potentially magnify the effects. Particularly dangerous is the potential for respiratory depression, which can make you stop breathing if you take too much of either codeine or tramadol, or mix either of them with the wrong medication.

QUESTION

Medically speaking, the term "myalgia" refers to what type of pain? See Answer

What Are Possible Side Effects of Ultram?

Ultram is available in generic form. Side effects of Ultram include:

What Are Possible Side Effects of Codeine?

Common side effects of codeine sulfate include:

What is Ultram?

Ultram is a strong prescription pain medicine that contains an opioid (narcotic) that is used for the management pain in adults, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them. Ultram is an opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death

What is Codeine?

Codeine sulfate is an opioid analgesic indicated for the relief of mild to moderately severe pain where the use of an opioid analgesic is appropriate.

What Drugs Interact With Ultram?

Ultram is contraindicated in patients receiving MAO inhibitors or who have used them within the previous 14 days.

What Drugs Interact With Codeine?

Use of other opioids, antihistamines, antipsychotics, antianxiety agents, or other CNS depressants (including sedatives, hypnotics, general anesthetics, antiemetics, phenothiazines, or other tranquilizers or alcohol) concomitantly with codeine sulfate tablets may result in additive CNS depression, respiratory depression, hypotension, profound sedation, or coma. Use codeine sulfate with caution and in reduced dosages in patients taking these agents.

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How Should Ultram Be Taken?

Do not change your dose. Take Ultram exactly as prescribed by your healthcare provider. Use the lowest dose possible for the shortest time needed.

Take your prescribed dose as indicated by your health care provider. The maximum dosage is 1 or 2 tablets every 4 to 6 hours, as needed for pain relief. Do not take more than your prescribed dose and do not take more than 8 tablets per day. If you miss a dose, take your next dose at your usual time.

Call your healthcare provider if the dose you are taking does not control your pain.

If you have been taking Ultram regularly, do not stop taking Ultram without talking to your healthcare provider.

After you stop taking Ultram, ask your pharmacist how to dispose of any unused tablets.

How Should Codeine Be Taken?

Do not change your dose. Take codeine sulfate tablets exactly as prescribed by your healthcare provider. Use the lowest dose possible for the shortest time needed.

Take your prescribed dose every 4 hours as needed. Do not take more than your prescribed dose. If you miss a dose, take your next dose at your usual time.

Call your healthcare provider if the dose you are taking does not control your pain.

If you have been taking codeine sulfate tablets regularly, do not stop taking codeine sulfate without talking to your healthcare provider.

After you stop taking codeine sulfate tablets, dispose the unused codeine sulfate tablets in accordance with the local state guidelines and/or regulations.

Disclaimer

All drug information provided on RxList.com is sourced directly from drug monographs published by the U.S. Food and Drug Administration (FDA).

Any drug information published on RxList.com regarding general drug information, drug side effects, drug usage, dosage, and more are sourced from the original drug documentation found in its FDA drug monograph.

Drug information found in the drug comparisons published on RxList.com is primarily sourced from the FDA drug information. The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs.

The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site.

As drug information can and will change at any time, RxList.com makes every effort to update its drug information. Due to the time-sensitive nature of drug information, RxList.com makes no guarantees that the information provided is the most current.

Any missing drug warnings or information does not in any way guarantee the safety, effectiveness, or the lack of adverse effects of any drug. The drug information provided is intended for reference only and should not be used as a substitute for medical advice.

If you have specific questions regarding a drug’s safety, side effects, usage, warnings, etc., you should contact your doctor or pharmacist, or refer to the individual drug monograph details found on the FDA.gov or RxList.com websites for more information.

You may also report negative side effects of prescription drugs to the FDA by visiting the FDA MedWatch website or calling 1-800-FDA-1088.

References

RxList. Codeine Side Effects Drug Center.
https://www.rxlist.com/codeine-side-effects-drug-center.htm
RxList. Ultram Side Effects Drug Center.
https://www.rxlist.com/ultram-side-effects-drug-center.htm
DailyMed. Codeine Prescribing Information.
https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=5fc0e987-61c9-40c4-b0d5-fcea07c8733e&type=display

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