I am on a fentanyl patch to control my pain i have fibromyalgia, chronic lyme disease. i forgot this morning, took ultram twice 100 mg, i am naseous.?

Withdrawal : You have withdrawal symptoms. May be you need to go to er, if taking medicine does not help.

Nausea: Nausea can be a symptom of opiate withdrawal, but you are wearing your fentanyl patch. Nausea is also a common side effect of ultram. It's possible that this is the result of the inadvertent double dose of ultram you gave yourself, rather than opiate withdrawal. I suggest contacting your physician, and also creating a way to consistently keep track of the pills you take each day.

Nausea: This is most likely related to the ultram. Call your prescribing doctor for advice.