Ultram and Savella drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Ultram (tramadol hydrochloride) and Savella (milnacipran hydrochloride). Common drug interactions include fatigue among females and drug ineffective among males.

The phase IV clinical study analyzes what interactions people have when they take Ultram and Savella. It is created by eHealthMe based on reports of 88 people who take the same drugs from the FDA, and is updated regularly.

What is Ultram?

Ultram has active ingredients of tramadol hydrochloride. It is often used in pain. eHealthMe is studying from 28,425 Ultram users. Check the latest studies of Ultram.

What is Savella?

Savella has active ingredients of milnacipran hydrochloride. It is often used in fibromyalgia. eHealthMe is studying from 7,529 Savella users. Check the latest studies of Savella.



On Jul, 12, 2026

88 people who take Ultram and Savella together, and have interactions are studied.

Ultram and Savella drug interactions.

What are the common drug interactions of Ultram and Savella, by gender? *:

female:

  1. Fatigue (feeling of tiredness)
  2. Abdominal pain
  3. Arthralgia (joint pain)
  4. Insomnia (sleeplessness)
  5. Headache (pain in head)
  6. Suicidal ideation
  7. Migraine (headache)
  8. Chronic kidney disease
  9. Hyperhidrosis (abnormally increased sweating)
  10. Somnolence (a state of near-sleep, a strong desire for sleep)

male:

  1. Drug ineffective
  2. Hypersensitivity
  3. Urinary retention (the inability to completely or partially empty the bladder)
  4. Disturbance in attention
  5. Fatigue (feeling of tiredness)
  6. Tachycardia (a heart rate that exceeds the range of 100 beats/min)
  7. Agitation (state of anxiety or nervous excitement)

What are the common drug interactions of Ultram and Savella, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

  1. Suffocation feeling

20-29:

  1. Rash

30-39:

  1. Arthralgia (joint pain)
  2. Nephrolithiasis (calculi in the kidneys)
  3. Balance disorder
  4. Blood pressure increased
  5. Chronic kidney disease
  6. Convulsion (muscles contract and relax rapidly and repeatedly, resulting in an uncontrolled shaking of the body)
  7. Drug ineffective
  8. Ear disorder
  9. Headache (pain in head)
  10. Joint range of motion decreased (disease of joint movement)

40-49:

  1. Abdominal pain
  2. Nausea (feeling of having an urge to vomit)
  3. Abdominal pain upper
  4. Alanine aminotransferase increased
  5. Anaemia (lack of blood)
  6. Anaemia vitamin b12 deficiency
  7. Anger
  8. Aphagia (inability or refusal to swallow)
  9. Behcet's syndrome (involves inflammation of the blood vessels)
  10. Blood chloride decreased

50-59:

  1. Hypoaesthesia (reduced sense of touch or sensation)
  2. Infection
  3. Memory impairment
  4. Mood altered (changes in mood)
  5. Muscular weakness (muscle weakness)
  6. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  7. Night sweats (sweating in night)
  8. Pain in extremity
  9. Palpitations (feelings or sensations that your heart is pounding or racing)
  10. Paranasal sinus hypersecretion

60+:

  1. Chills (felling of cold)
  2. Suicidal ideation
  3. Agitation (state of anxiety or nervous excitement)
  4. Alopecia (absence of hair from areas of the body)
  5. Anaemia (lack of blood)
  6. Anaphylactic reaction (serious allergic reaction)
  7. Anxiety
  8. Arthropathy
  9. Asthenia (weakness)
  10. Bladder disorder

What are the existing conditions these people have? *

  1. Narcolepsy (brain's inability to regulate sleep-wake cycles normally): 14 people, 15.91%
  2. Depression: 12 people, 13.64%
  3. Nausea (feeling of having an urge to vomit): 11 people, 12.50%
  4. Gastroesophageal Reflux Disease (a condition in which stomach contents leak backward from the stomach into the oesophagus): 10 people, 11.36%
  5. Stress And Anxiety: 8 people, 9.09%
  6. High Blood Pressure: 8 people, 9.09%
  7. Arthritis (form of joint disorder that involves inflammation of one or more joints): 7 people, 7.95%
  8. Nausea And Vomiting: 6 people, 6.82%
  9. Muscle Spasms (muscle contraction): 6 people, 6.82%
  10. Migraine (headache): 6 people, 6.82%

* Approximation only. Some reports may have incomplete information.

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Ultram and Savella:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Ultram:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Savella:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Ultram and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Savella and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Related publications that referenced our studies


How the study uses the data?

The study uses data from the FDA. It is based on tramadol hydrochloride and milnacipran hydrochloride (the active ingredients of Ultram and Savella, respectively), and Ultram and Savella (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.



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