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Ultram is somewhat pharmacologically similar to levorphanol (albeit with much lower ยต-agonism), as both opioids are also NMDA-antagonists which also have SNRI activity.

Ultram Side Effects
The most commonly reported adverse drug reactions are nausea, vomiting, memory loss, sweating and constipation. Drowsiness is reported, although it is less of an issue than for non-synthetic opioids. Respiratory depression, a common side-effect of most opioids, is not clinically significant in normal doses.
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