Ultram has a potential for both physical and psychological dependency, although much lower than that of traditional narcotics. Use of Ultram is indicated for the treatment of moderate to moderately severe pain. The normal dosage is Ultram 50 mg orally every 4 to 6 hours with no more than 400 mg over a 24-hour period. Narcotics Narcotics provide the greatest degree of pain relief but can have significant unwanted side effects including physical dependence. Narcotics are a group of opium based pain relievers.
Narcotics act centrally, meaning that it acts directly on the brain and spinal cord.
Motor vehicles should not be operated when taking narcotics. There are some physicians that question long term administration of narcotics for chronic pelvic pain. Some argue pain relief is not improved with narcotics. I think most people with severe chronic pain would have difficulty with this reasoning. Under-treatment of chronic pain is a real problem in the United States.