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Does ultram cause liver damage?

I can't find any literature on it, the little I did find indicates that it is safer than tylenol? Can anyone elaborate?
I am a Nurse in Family Practice but I also have a friend who had a shoulder injury and has been on Ultram long term. I have done quite a bit of research on this and yes, it can cause liver damage if use for an extended length of time. Ultram can actually become very addicting as well. Plus, if you drink alcohol, you may damage your liver even more. Although Tylenol is not addicting, if used long term or in large amounts, it can cause severe liver damage as well. The first question we ask patients with elevated liver functions is "how much Tylenol do you use and how much alcohol do you drink?" Short term use is fine but be careful!!




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