Available Strengths: 50 mg, 100 mg, 200 mg
Minimum Order: 30 Pills
Maximum Order: 500 Pills
Delivery: 1-3 Business days ( US & Canada) |  3-5 Business days (EU, UK, Australia, SE Asia)


What is Tramadol?

Tramadol (Ultram® ) is a prescription painkiller that is used to treat moderate to severe pain. Tramadol can be taken alone or in combination with other drugs.
Tramadol belongs to the Opioid Analgesics class of medicines.

Tramadol is indicated in adults for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate.

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How to take Tramadol

  • Tramadol can be taken with or without food, but take it the same way each time.
  • To avoid a potentially lethal overdose, swallow the capsule or tablet completely. Do not crush, chew, break, open, or dissolve.
  • Never crush or shatter a Tramadol pill to inhale the powder or dissolve it in a liquid to inject it into your vein. This procedure has resulted in the death of a person.
  • If you suddenly quit using, you may have withdrawal symptoms. Before you stop taking this drug, talk to your doctor.

Tramadol Dosage Information

Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain

  • For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days
  • Maximum dose: 400 mg per day.
Usual Adult Dose for Chronic Pain:

Extended-Release (ER):
18 years or older (tramadol-naive): 100 mg orally once a day

  • Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
  • Maximum Dose: 300 mg/day

For patients CURRENTLY receiving Immediate-Release (IR) Tramadol:
Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day
Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy

  • Initial dose: 100 mg ER orally once a day
  • Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
  • Maximum Dose: 300 mg/day.
Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range
Over 75 years:
Maximum dose of Immediate-release: 300 mg per day.

Tramadol Side Effects

Common Tramadol side effects may include:

  • constipation, nausea, vomiting, stomach pain;
  • dizziness, drowsiness, tiredness;
  • headache; or
  • itching.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.


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