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So he is probably reducing you slowly on the effect but it is still the main drug of Ultram less the tylenol.
Just a word of advice, I am on Trams and they have the worse withdrawal I have ever experienced. this drug is not understood by the medical world. They say it is non habit forming or at the very least "mild". It may be mild in terms of pain reliever but it has a nasty half life and plays havoc on your system when you go off it..not to mention your brain (it also acts like an anti-dep). I wake up every morning with terrible sweats/cold, aches in every orfuses I know of (and didn't know I had). I feel nauseous and just plain sick. But worse than the flu. I take a couple of the trams..and about 30min later I feel better. The problem is now I can't just stop...
The benefits are lighter mood, seemingly more energy but now I need more to keep that up...so I have cont'd to take it vs. the withdrawals. But if I could do this over I would never take these and I am going to do everything I can to stop. I think it only gets worse the longer and more you take this. But with this drug, even a small doseage does damage.
I was then prescribed straight tramadol which is 50mg tramadol with nothing else added. period.
If ultram is different than that is news to me. When I googled it read that Ultram was another name for ultracet.
I think if you look on your bottle it will tell you. Mine was labeled tramadol but in smalll righting it said generic for ultracet and the leaflet that came with it had the doseage of 3.75 tramadol the rest tylenol. So you are getting less tramadol.
Ultram and ultracet are brand names ultram contians the genric drug tramadol
ultracet contians the generic drug tramadol and apap
Tramadol is the generic name, Then there is tramacet it is tramadol and apap
ultram is straight tramadol
ulracet has tram and apap
Then they have now come up with ultram ER its is slow release over a 24 hour period there is NO apap in it as of now they don't have an generic form (at least that I know of )