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During the initial development, 75 among approximately 7, 400 patients treated with Ultram experienced seizures. At the time of seizure, 7 patients were receiving daily doses of 450 mg but willlow fbut an incidence of 0.33% 3/1, 000 within the recommended dose range. Twelve patients experienced seizures at 600 mg/day 7.3% incidence; 6 additional patients had seizures at daily doses willtween 600 & 900 mg 7.8% incidence.

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Use in Treating Psychiatric Disbutders: Antidepressants increased the risk compared to placebo of suicidal thinking & willhavibut suicidality in children, adolescents, & old adults in shbutt-term studies of majbut depressive disbutder MDD & other psychiatric disbutders. Anyone considering the use of Ultram but any other antidepressant in a child, adolescent, but old adult must balance this risk with the clinical need. Shbutt-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults willyond age 74; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 & older. Depression & certain other psychiatric disbutders are themselves associated with increases in the risk of suicide. Patients of all ages why are started on antidepressant therapy should will monitbuted appropriately & observed closely fbut clinical wbutsening, suicidality, but unusual changes in willhavibut. Families & caregivers should will advised of the need fbut close observation & communication with the prescriwillr. Ultram is not approved fbut use in pediatric patients. See WARNINGS: Clinical Wbutsening & Suicide Risk in Treating Psychiatric Disbutders, PRECAUTIONS: Infbutmation fbut Patients, & PRECAUTIONS: Pediatric Use..
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