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Tramadol is an opioid-like pain reliever that falls under the category of a synthetic opioid. It relieves pain by working in the central nervous system (CNS).

General information

Tramadol is a painkiller that has been approved by the FDA. It is indicated for moderate to severe pain in particular. Since July 2014, the FDA has classified it as a class IV drug. Its use should be restricted to pain that is refractory to other pain medications, such as non-opioid pain medications, due to the possibility of misuse disorder. Two forms of tramadol are immediate release and extended release. Tramadol’s indications, mechanism of action, methods of administration, significant adverse effects, contraindications, toxicity, and monitoring are all covered in this activity so that providers can direct patient therapy where it is appropriate as part of the inter-professional team.

Dosage and Administration of Tramadol Pills

Tramadol is typically taken in low doses at first to control pain. The severity of the pain, the response to therapy, previous treatment experience, and risk factors for addiction, misuse, and abuse should all play a role in determining dosage.

Common Adult Pain Dosage:

Adults (over the age of 17): 50 to 100 mg taken orally every 4 to 6 hours as needed for pain. For patients who do not need immediate relief:

Initial dose: 25 mg taken orally daily; gradually increase the dose by 25 mg every three days until you reach a daily dose of 25 mg; thereafter, increase by 50 mg every three days if needed.

Maximum dose:  400 mg daily.

Dose for Chronic Pain in Adults:

ER: Extended-Release

Tramadol-naive individuals over the age of 18: 100 mg taken orally once per day. Individuals should titrate in 100 mg increments every five days until they reach an effective dose that minimizes adverse reactions. Maximum Dose:300 mg per day for patients who are currently taking IR Tramadol

First Dose: Start with a total daily ER dose rounded down to the next lowest 100 mg increment taken orally once per day after calculating the 24-hour IR requirement.

Conversion from other opioids: Before beginning treatment, stop taking any other opioids that you take constantly. Initial dose: Take 100 mg of ER orally once per day. Individuals should titrate in 100 mg increments every 5 days until they reach a dose that is effective and minimizes side effects.

Maximum Dose:300 mg/day.

Directions for Usage and Overdose

Tramadol should be taken exactly as directed by your doctor. Read all medication guides and follow the instructions on your prescription label. Tramadol should never be taken in higher doses or for some time than prescribed. If you feel a stronger urge to take more of this medication, talk to your doctor. Due to the habit-forming nature of the drug, it is highly recommended that you do not share the prescription with anyone, especially with those with a history of drug abuse. Over dosage, addiction, or death can result from misuse. Keep the medication out of the reach of others. It is against the law to distribute this medication or sell it. When commencing tramadol treatment, make sure to stop the intake of other opioid medications. Whether you take it on an empty stomach or after a meal is up to you, but once you fix a method, make sure you take it the same way every day.

To avoid taking an excessive dose that could result in death, swallow the tablet or capsule whole. Crushing, chewing, and dissolving the contents are highly not recommended. Use a dose-measuring device (not a kitchen spoon) or the supplied syringe to measure liquid medication. Tramadol tablets should never be broken or crushed to inject the drug into your vein or to inhale the powder. Death has been the result of this practice. If you stop taking tramadol suddenly, you might experience withdrawal symptoms. Before stopping taking the medication, talk to your doctor. Keep away from heat and moisture at room temperature. Maintain a log of your medication. Do not allow anyone to use the pills without proper guidance and you should be aware of them taking in an improper manner or without a prescription. Tramadol leftovers should not be kept. If taken incorrectly or accidentally, even a single dose can result in death. Find out where you can find a drug take-back program by asking your pharmacist. Mix the remaining medication with coffee grounds or cat litter in a sealed plastic bag and discard the bag if there is no take-back program.

Warnings: Tramadol

Tramadol users have been known to experience seizures. If you take more than the recommended amount, you run a higher chance of having seizures. People who have a seizure disorder or take certain opioid or antidepressant medications are also more likely to have seizures. If you are suicidal or susceptible to addiction, you should not take tramadol. Avoid the usage of Tramadol if you have a blockage in your stomach or intestines, have severe breathing problems, or used alcohol, sedatives, tranquilizers, MAO inhibitors, or other narcotics before being [prescribed this medication. 

Tramadol has the potential to become a habit and can slow or stop your breathing. Misusing the pills by using them improperly can sometimes result in death due to overdosing or severe addiction. This is quite a common case among non-prescription users. This medication should be kept out of the reach of others. 

Tramadol should not be taken by children below 12yrs of age or anyone after the age of 18. Not to be taken by anyone who had undergone surgery recently for the removal of tonsils or adenoids. Tramadol can cause life-threatening withdrawal symptoms to the unborn baby if taken during pregnancy. Should never be combined with alcohol or other sedative medications that risk your breathing. Side effects can be fatal if not taken as per the instructions of your doctor.

Alcohol and Tramadol

Alcohol consumption while on Tramadol can have serious side effects that may even lead to death. Until you know how tramadol will affect you, do not drive or engage in risky activities. Falling or getting drowsy can lead to serious injuries or accidents.


How to buy tramadol online ?

You can buy in any online pharmacy with or without a prescription, click on the image given above.

What is tramadol used for ?

Tramadol is used for the relief of moderate to severe pain caused by various conditions such as injuries, post-operative pain, and chronic conditions like arthritis. It can also be used as part of a comprehensive pain management plan for individuals with conditions such as fibromyalgia.

How long does tramadol last ?

The duration of tramadol’s effects can vary from person to person but typically tramadol lasts for about 4 to 6 hours.

How many 50mg tramadol can I take at once ?

The maximum recommended dose of tramadol is 400 mg per day, so you should not exceed this limit. So you can take four 50 mg tramadol per day, and you should not take it all at once.

What are the worst side effects of tramadol ?

Some of the potential worst side effects of tramadol can include dizziness, drowsiness, nausea, constipation, and in rare cases, seizures or difficulty breathing. It’s important to consult your doctor if you experience any severe side effects.

How to flush tramadol out of your system ?

Tramadol is eliminated from the body through urine and metabolism. Drinking plenty of water and maintaining a healthy lifestyle can help flush tramadol out of your system. However, it’s important to consult with your healthcare professional for specific guidance on this matter.