Ultram and Zebeta drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Ultram (tramadol hydrochloride) and Zebeta (bisoprolol fumarate). Common drug interactions include chills among females and upper gastrointestinal haemorrhage among males.
The phase IV clinical study analyzes what interactions people have when they take Ultram and Zebeta. It is created by eHealthMe based on reports of 28 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 Zebeta?
Zebeta has active ingredients of bisoprolol fumarate. It is often used in high blood pressure. eHealthMe is studying from 1,734 Zebeta users. Check the latest studies of Zebeta.
28 people who take Ultram and Zebeta together, and have interactions are studied.

What are the common drug interactions of Ultram and Zebeta, by gender? *:
female:
- Chills (felling of cold)
- Chronic kidney disease
- Exostosis (formation of new bone on the surface of a bone)
- Eye pain
- Mean cell haemoglobin concentration decreased (less concentration of haemoglobin in a given volume of packed red blood cells)
- Ocular hyperaemia (an abnormally large amount of blood in eye)
- Osteoarthritis (a joint disease caused by cartilage loss in a joint)
- Paronychia (infection in the tissues adjacent to a nail on a finger or toe)
- Pyrexia (fever)
- Rash
male:
- Upper gastrointestinal haemorrhage (upper gastrointestinal bleeding)
- Rectal haemorrhage (bleeding from anus)
- Aortic aneurysm (enlargement of an aortic artery caused by a weakening of the artery wall)
- Aortic arteriosclerosis (hardening of the aortic arteries)
- Arthralgia (joint pain)
- Atrial fibrillation (fibrillation of the muscles of the atria of the heart)
- Atrioventricular block first degree (heart block first degree)
- Barrett's oesophagus (barrett's oesophagus is a disorder in which the lining of the oesophagus (the tube that carries food from the throat to the stomach) is damaged by stomach acid and changed to a lining similar to that of the stomach)
- Benign prostatic hyperplasia (benign enlargement of the prostate)
- Blood glucose decreased
What are the common drug interactions of Ultram and Zebeta, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
n/a
10-19:
n/a
20-29:
n/a
30-39:
- Arthritis (form of joint disorder that involves inflammation of one or more joints)
- Blood cholesterol increased
- Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
- Cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
- Glaucoma (increased fluid pressure in the eye with vision loss)
- Neuropathy peripheral (surface nerve damage)
- Purpura senile (skin condition in which areas of the skin develop a purplish or reddish-brown appearance due to bleeding of small blood vessels underneath)
- Renal failure (kidney dysfunction)
- Resorption bone increased
- Tarsal tunnel syndrome (a condition that is caused by compression of the tibial nerve or its associated branches as the nerve)
40-49:
n/a
50-59:
- Fibrin d dimer increased
- Oxygen saturation decreased
- Pulmonary congestion (congestion in the lungs)
- Transaminases increased
- Breast cancer
- Cardiomegaly (increased size of heart than normal)
- Lymphadenopathy (disease or enlargement of lymph nodes)
- Pericardial effusion (fluid around the heart)
- Pleural effusion (water on the lungs)
- Pneumonia
60+:
- Upper gastrointestinal haemorrhage (upper gastrointestinal bleeding)
- Rectal haemorrhage (bleeding from anus)
- Atrial fibrillation (fibrillation of the muscles of the atria of the heart)
- Dyspnoea (difficult or laboured respiration)
- Gastrointestinal haemorrhage (bleeding gastrointestinal tract)
- Hernia (hernia happens when part of an internal organ or tissue bulges through a weak area of muscle)
- Loss of consciousness
- Neuropathy peripheral (surface nerve damage)
- Retching (strong involuntary effort to vomit)
- Thyroid disorder (thyroid diseases)
What are the existing conditions these people have? *
- Atrial Fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles): 8 people, 28.57%
- Arthritis (form of joint disorder that involves inflammation of one or more joints): 7 people, 25.00%
- Diabetes: 5 people, 17.86%
- High Blood Cholesterol: 5 people, 17.86%
- Hyperlipidaemia (presence of excess lipids in the blood): 4 people, 14.29%
- Gout (uric acid crystals building up in the body): 4 people, 14.29%
- Deep Venous Thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis): 4 people, 14.29%
- Cardiac Failure Congestive: 4 people, 14.29%
- Cardiac Disorder: 4 people, 14.29%
- Stroke (sudden death of a portion of the brain cells due to a lack of oxygen): 4 people, 14.29%
* 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 Zebeta:
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 zSub-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 zBrowse all side effects of Zebeta:
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 zBrowse 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 zBrowse all interactions between Zebeta 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 zRelated publications that referenced our studies
- Mansour HM, "Tramadol and Disseminated Intravascular Coagulopathy: A Case Report", Medicine Science, 2015 Jan .
- Mansour HM, "Tramadol and Disseminated Intravascular Coagulopathy: A Case Report", Medicine Science, 2015 Jan .
How the study uses the data?
The study uses data from the FDA. It is based on tramadol hydrochloride and bisoprolol fumarate (the active ingredients of Ultram and Zebeta, respectively), and Ultram and Zebeta (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.
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