Tramadol dosage is prescribed based on several contributing factors, such as a patient’s age, response to Tramadol, and other medical conditions the patient may have. The general consensus by medical professionals is too started out small and gradually increased as the need arises, up to 400mg a day. Adjusting the dose of Tramadol should only be done by the physician, and never by the patient.
Adult dosage for mild to moderate chronic pain: Initial dose of 25mg is prescribed each morning, increasing in 25mg increments every three days until dose reaches 100mg a day in of 25mg are taken 4 times a day. The dose may then be raised by 50mg as needed every 3 days until 200mg a day is taken in 50mg 4 times a day. A patient may take 50 to 100mg every 4 to 6 hours depending on pain level. Dose should never exceed 400mg in a 24 hour period.
Adult dosage for moderately severe chronic pain needing constant pain relief:
A dose of 100mg of timed release Tramadol should be taken only once a day and increased as necessary by 100mg after five days. Maximum dose of timed release Tramadol should not exceed 300mg in a 24 hour period.
Adult dosage for patients who experience rapid onset of paid requiring higher doses:
Initial dose: 50 to 100mg every 4 to 6 house with the maximum dosage of 400mg over 24 hour period.
Patients over the age of 65:
Physicians prefer to prescribe lower doses of Tramadol due to the increased risk of cardiac problems and drug interaction from other medications.
Patients over the age of 75:
A dose of 25 to 50mg of oral tablets over 24 hours may be prescribed, with the maximum dose of 300 per day.
Tramadol doses for special circumstances:
Patients with severe kidney disease should never exceed 100mg in a 12 hour period. If the patient is on dialysis, a normal dosage may be taken, due to dialysis does not remove the medication from blood. Patients with cirrhosis of the liver should never exceed 50mg in a 12 hour period.
Tramadol Dosage Additional Information:
Tramadol in tablet form is taken by mouth every four to six hours as needed.
Tramadol works best if started out in low doses and gradually increased until maximum daily dose is reached.
Tramadol can be taken with or without food.
Alcohol should not be consumed while taking tramadol.
Tramadol should only be taken as prescribed by a health care provider, and doses should only be increased on the physician recommendation,
Taking Tramadol should not be stopped suddenly, due to possible withdrawal symptoms.
A physician should always be consulted if any questions or concerns arise.