Ultram is the brand name for an extended-release form of tramadol, a synthetic opioid painkiller. Although not as strong as other painkillers, Ultram abuse is still highly dangerous – especially if it accompanies other substances, such as alcohol.
Also, tramadol has very harmful interactions with SSRIs; Ultram abuse can cause serotonin syndrome in some people. Like all opioids, Ultram abuse can be somewhat difficult to treat.
Withdrawal from Ultram addiction can be prolonged and unpleasant. A detox can make Ultram withdrawal easier to manage.