Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

The main site has all the formal medical articles and videos for you to research on.


manaleriemmanalerie Posts: 550
edited 06/11/2012 - 7:23 AM in Pain Medications
So I called the doctor today, and left a message about my concerns with ultram. Racing heart, can't sleep etc. Along with some new symptoms. I noticed the other day, while watching an episode of CSI, that I am not comprehending anything. I had to rewind the same 5 minutes over and over, I would watch and realize I had no idea what is going on.

Later in the afternoon, I had put my son down for a nap, and kicked back on the couch for some quiet time. My son was calling for me, so I got up went in to his room, blacked out and hit the floor. It took about a minute before I could get up. I didn't lose consciousness, but couldn't see, and had severe pressure in my head.

I called the neuro back, and they asked me to come in to check my vitals.

I go to his office, tell him whats happening. He says that he doesn't think that its because of the ultram. He thinks I am having panic attacks. Yes, I do suffer from panic attacks, but not everyday, not like this. He says 'you've been taking this for 2 months, why would this start now?'
I tell him that I have not been taking it for two months, and that I have been having these symptoms since I started it. First we thought it was the skelaxin, so we switched to norflex, still having problems stopped the norflex, still having problems, the only thing left is the ultram. He says, 'you started this July 31st thats two months" UM no thats one month... but I no longer wish to argue.

Ok, so Im having panic attacks every day. I will go to my psychologist. But what about the fainting? He says that this is an isolated incident, and if it happens again he will order a work up. I ask him to take my blood pressure (after all that is why I was there right? to check my vitals?) BP 90 over 60 Normal??? Not so much. He tells me to "drink LOTS OF FLUIDS."

So later in the evening, I'm shopping with my mother in law. I was squatting down, looking at a lower rack, and as I stood up, I fainted right there in the store. That was fun. And what is this pressure in my head when it happens? I've fainted before, but I don't remember having this kind of pressure in my head.

I'm telling you guys, I give up. I just can't deal with this crap anymore. I'm gonna wean myself off of the ultram and suck it up. At this point I just really don't ever want to see another doctor as long as I live. I will always be wrong, and they will always be right, and thats just how its gonna be.


  • Can it be that the ultram is taking your panic attacks to a new level in which your b/p drops and you faint? I would say to ask your psychologist about it. Also instead of having your NS handle your pain meds, why not go to a pain management doctor? If not that what about talking to your primary about this situation, maybe he (she) can write you something else that you won’t have problems with. To be on nothing and be in pain all the time will only make you very unhappy!! :''( Best of luck.
  • discouraged. I know that there are docs out there that are very arrogant especially if they are a specialist. But there really are good docs out there that will listen and try to help. I agree, why not try a PM? They are usually the best at managing meds and pain.
  • advertisement
  • You should take yourself to an ER while this is all recent and fresh(go now!); they should check for a seizure or seizures (ultram), do a full lab workup, and find the cause or a very likely one. (a seizure is usually tied to blacking out or passing out) A neurosurgeon should be able to help too. Tramadol worked fine for a friend of mine, for a month or so, and then he ended up having 3 seizures behind the wheel of his very, very nice car. The very nice car is no longer with us, but luckily, he is. I'm not saying you had a seizure, maybe you were dehydrated, are developing diabetes and had low blood sugar, maybe just coincidence, but if you describe it with seriousness and emphasis, you should at least have a CT scan and the blood work, which is usually more than your pm will do in this case. Your primary doc will probably order the labs, but no scans. If you don't go, and it happens again, take yourself STRAIGHT to the ER (with someone else driving). These things need to be checked *immediately* if possible. There are countless reasons for fainting so I hope I didn't paint a bad picture, but those are the things you need to eliminate you know? It's usually a fixable thing at your age.

    Good luck to you, eat food drink water and take vitamins! ~JWM
  • this is just my understanding,and maybe a suggestion to what might be going on, i take ultram and have for over 10 years,(I have always read and kept up on ultram and its side effects-good and bad)when i first started taking ultram the books said one thing now they say something else. ultram by itself does not have to many side effects but when you take ultram (which has a anti depressant in it)(i have found docs, don't tell us that)(And Have Found For Some Reason Some Docs Dont Know Or Something)A person has to be very careful taking ultram with other certain meds Especially with a anti depressant because it very well can cause a seizure. some doc, will prescribe ultram left and right. some would not scribe it for nothing. this is not just what i think it is a fact, when i first started ultram i didnt know, couldnt find another person taking it, now many take it ultram is a pain reliever and a antidep in one,most docs leave out the antidep fact. over the years taking ultram of couse its affects have changed the first week made me itch so bad i quit it, doc said just give it time, i did and now that doesn't happen it used to relieve more of my pain but then again i think my pain has gotten alot stronger, i used to work 3rd shift which was great because it also keeps me up going full of energy, the 3rd shift thing stopped about 5 years ago so now i cant take the ulram after 12 noon , but first thing in the morning and even if it doesnt help lots with the pain the boost of energy makes the pain a tad bit different not better but different, it takes i think about 1 or 2 months for the energy part of ultram to kick in.
    ultram has some kind of serotonin booster in it, which i think alot of chronic pain suffers are low in and chronic fatigue,and fibro people TOO and i think these people have a high substance P level. from my research i love to read books,new books the old editions are no good things change and what used to be a new drug at one time is a old one now, and the info is very out dated, as sad that some of our doc,s sometimes dont keep up on things.
    sometimes ultram all by itself is to much serotonin all by itself not usually but if your all ready high in serotonin or have enough in your brain then ultram can cause a syndrome, this would more likely happen if ultram is taken with a anti depressant, a serotonin syndrome can be VERY serious. sorry for the deep going into this ultram thing but your doc should not sorta blow you off.
    i never wanna be quoted for my words because i do get things confused at times because i read so much. but if i remember right what you explained in your post sounds like it could of been a seizure type serotonin syndrome. maybe this can help you that's all im trying to do im not telling you nothing just throwing out things i know and maybe a few ideas. please let me know i would be interested into what you find out patsy
  • I was on Tramadol/Ultam starting in Aug 06 prior to my surgery and then after until april 08.....it seem to work fine, I did have the itching that stopped but when I was switched from the Tramadol 50mg 2 x day to the UltramER 200mg I started feeling like I had the flu 24/7....this was not pain this was just plain old flu like symptoms. I did reasearch and found that to be a serious side effect...I stopped it cold turkey which was not pleasant but I survived. I will never take this drug again. I do believe the doctors are fooled by the "non narcotic" label it has. It does have the SSRI in it so you have to be careful about anti depression drugs, not a good mix.

  • advertisement
  • i myself would never take the ultramER-NEVER just my opinion but i do take my 50mg-2@ 5 or 6am and then 2@ 11 or 12 in afternoon if i didnt my fatigue would keep me in bed all day being depressed not to mention the pain, i take my pain meds usually half hour after my ultrams, patsy
  • Amanda , I have the same thing happen to me and so does my daughter....the only difference is that she has seizures when she faints.....we found out that it is because of a mixture of low blood pressure and low blood sugar. Any time we stand up from a sitting position or a squatting position , etc....we have to do it slowly and if my daughter feels a faint coming on then she knows to lay down completely flat because of the risk of her seizures. The pressure in the head and the seeing black is all a part of it too.....almost feels like blood is rushing through your head at a fast rate after having been cut off(you can almost hear it)...atleast that is how it feels to us. There really isn't a way to combat this for the two of us , we have to just live with it..it doesn't happen a whole lot so it is tolerable. I wish you the best in finding answers to what is going on.Please keep us posted.....take care....Miki
  • I have heard of this plenty of times. Ultram causes people the pass out and/or have seizures along with the passing out. And lots of them didnt realize they had seizures until they noticed either they bit their tongues or had marks on their heads from banging them. I took ultram and tramadol and with both I ended up in the ER with migraines that were uncontrollable. I would be vomiting and could not even open my eyes or walk. Even when I went to the PM he said it wasnt the Ultram...so then they have me the tramadol and bam - I was back in the ER with the vomiting and migraine. While it was happening to me I did some research and found the information re: seizures and passing out from this medication. Please be careful with your little one.
    Keep us updated.

    Take care.

  • I am now thinking my neuro is a quack. I was just reading about low blood pressure, and I think that most certainly this fainting is being caused or exacerbated by ultram. I called my Primary, and am waiting for a call back. Took my heart rate... 114 beats per minute. The nurse seemed very concerned.

    Thanks for all your input... I am looking further into this.

    Some of you posted above about seeking advice from PM's and such. I have done all of that, and you can read all about it in my previous post. I believe its under pain management, and titled "my frustrating PM appointment"

    That post lists my experiences with all doctors thus far...

    Thanks a bunch
  • Primary doctor called back, and said that I needed to go to the ER immediately. I had to talk them out of sending an ambulance.

    I get to the ER at around 5... its a very busy day, so I settle in for the long evening ahead.

    6pm, get called in for triage, EKG, then registration

    8pm, get called into the room

    9pm, Nurse #1 comes in to take my blood. I asked him how long its going to be, since my husband has to go to work at 2am, and needs to go to sleep... he says that the blood work will take at least an hour, so hubby heads home.

    10pm, doctor #1 comes in, does exam

    10:30 doctor #2 does exam says bloodwork is fine, but he requires a pregnancy test for all women in this situation.

    11pm nurse #2 comes in, takes my urine sample

    11:10pm nurse #3 comes in asking for my urine... told her it was already taken by nurse #2

    11:15pm nurse #2 comes back and tells me not pregnant, but urine was cloudy, had protein and blood in it, so she sent it to the lab (probably normal but should check to be safe)

    11:30pm I ask the nurse #2 how long this is going to take, because I need to get home for my son, so hubby can go to work. She said still waiting on urine results, catch her at midnight, and she will check.

    12am Nurse#2 comes in and informs me that now I need IV fluids

    12:30am 1st doctor comes in and tells me that she needs to give me a rectal exam to check for internal bleeding. Unhooks IV fluids and has me sign my discharge papers. Has no idea why the nurse sent urine to the lab, or why I am waiting

    12:45am Nurse #4 comes in, removes IV from arm

    1am Nurse #2 comes in and says urine test was fine, and I'm all set to go home <:P <br />
    Can you believe it? I went to the ER today, and I actually made it home by 1:30am. After all it is Friday night in the big city. All to tell me that I am fine, they don't know what caused me to faint, and discuss ultram again with neuro next week. Oh how I love ER's 8>
Sign In or Register to comment.