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Ultram may increase the drowsiness caused by alcohol. Do not drink alcohol while taking this medication.Avoid Ultram, too, if you are taking the seizure
medication Tegretol.
If Ultram is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor
before combining Ultram with the following:
Cyclobenzaprine (Flexeril)Drugs known as MAO inhibitors, including the antidepressants Nardil and ParnateSerotonin-boosting antidepressants
such as Paxil, Prozac, and Zoloft"Tricyclic" antidepressants such as Elavil, Norpramin, and TofranilMajor tranquilizers such as Thorazine and Stelazine
Narcotic pain relievers (Demerol, morphine, Darvon, Percocet)Promethazine (Mepergan, Phenergan)Quinidine (Quinidex)Sleeping pills
(Halcion, Dalmane, Restoril)Tranquilizers (Valium, Xanax)
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