Ultram, Generic Ultram, Tramadol is a pain reliever. Tramadol affects chemicals and receptors in the body that are associated with pain. Ultram, Generic Ultram, Tramadol is used to relieve moderate to moderately severe pain. Ultram, Generic Ultram, Tramadol may also be used for purposes other than those listed in this medication guide. Do not drink alcohol while taking Ultram, Generic Ultram, Tramadol. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with this medicine. Store Ultram, Generic Ultram, Tramadol at room temperature away from moisture and heat. Do not take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your doctor. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.