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ultram side effect

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I have chronic lower back pain and take ultram for it. Works pretty well for me although I feel a little side effects, I guess. Very minor, though. I get occasional constipation and makes me itch a little. The question I have is, lately, I experience cold feelings on my feet, fingers and my nose. Do you have any idea if this is also something that’s being caused by ultram?

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Ultram Constipation Pain Back pain

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