Why is this medication prescribed?
Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended- release tablets and capsules are used by people who are expected to need medication to relieve pain around the clock. Tramadol is called a (narcotic) analgesics. This works by changing the way the brain and nervous system respond to pain.
- You should not take Tramadol if you have used alcohol, sedatives or narcotics medications within the past few hours.
- Tramadol can slow your breathing, especially when you start using this medicine or whenever the dose is changed.
- Never take Tramadol in larger amounts, or for longer than it is prescribed by the doctor.
- Swallow it whole to avoid exposure to potentially fatal dose
- Tramadol may be habit forming, even at regular doses therefore take this medicine as prescribed by the doctor only.
- This medication should not be consumed by pregnant women.
Usual Adult Dose for Pain:
For mild to moderate severe chronic pain not requiring rapid onset of analgesic effect:
Initial dose: 25 mg every morning
Titration: increase in 25 mg increments as separate doses every 3 days to reach 100 mg per day taken as 25 mg 4 times per day. Then the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg per day taken as 50 mg 4 times per day.
Maintenance: After titration, Tramadol 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg per day.
For the management of moderate to moderately severe chronic pain in adults who require around-the-clock treatment of their pain for an extended period of time:
Initial Dose: 100 mg once daily and titrated up as necessary by 100 mg increments every five days to relief of pain and depending upon tolerability.
Maximum Dose: Extended-release tablets should not be administered at a dose exceeding 300 mg per day.
For patients in whom rapid onset of analgesic effect is required and for whom the benefits outweigh the risk of discontinuation due to adverse events associated with higher initial dose:
Dose: 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours, not to exceed 400 mg per day.
Tramadol Extended-Release (ER):
Patients not currently treated with Tramadol immediate-release (IR):
Initial dose: 100 mg once daily and titrated up as necessary by 100 mg increments every 5 days to relief of pain and individualized according to patient need and tolerability.
Maximum dose: 300 mg per day
Patients currently on Tramadol IR (immediate release) :
Calculate the 24-hour Tramadol IR dose:
Initial dose: Round down to the next lowest 100 mg increment. The dose may subsequently be individualized according to patient need and tolerability.
Maximum dose: 300 mg per day
Due to limitations in flexibility of dose selection with Tramadol ER, some patients maintained
on immediate release products may not be able to convert.