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Ultram works like the nacrotic drugs, but without any bad side effects. It must be taken orally and as per the prescribed method. As Ultram is a narcotic-like drug, you must not take it, if you have ever been addicted to drugs or alcohol. Ultram also has some side effects that can hamper in your thinking. Overdose of Ultram can be fatal. So, take this pain reliever responsibly, under the guidance of your doctor.