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Wish consult a doctor anterior to you elect to use ULTRAM 100 mg. Contraindications Do not use ULTRAM 100 mg if condition of the philosophical is accompanied sooner than respiratory dip or rigid depression of the middle nervous technique (sleeping pills, opiate analgesics, fire-water poisoning or psychotropic drugs); in carton of inclement hepatic and / or renal insufficiency (creatinine clearance beneath 10 ml / min); together with MAO inhibitors (and two weeks after withdrawal); in children younger 1 year; in action of increased soreness to the upper and other opioids. Precautions. Use ULTRAM 100 mg with major care in patients with impaired renal role and liver, with agonizing brain injuries, increased intracranial prevail upon, patients with epilepsy, as accurately as individuals with medication addiction to opioids, in patients who have abdominal pain of unknown source ("sharp abdomen "). Consult a practised maestro before you decide to misuse ULTRAM 100 mg. 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