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If Ultram could be the right choice for treating your chronic pain. There are other medications that your doctor may suggest in addition to the above. Talk candidly with your doctor about your individual risk of having a seizure while taking Tramadol. If taken improperly or in a way that is not recommended if you are taking narcotic analgesics, or have a history of drug dependence, or are chronically using opioids, treatment with Ultram is not recommended.