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What is Tramadol?

Tramadol is a narcotic-like pain reliever.

Tramadol is used to treat moderate to severe pain.

The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain.

Tramadol may also be used for purposes not listed in this medication guide.

Tramadol has two different actions in the body. It is an opioid analgesic, which means that it attaches to receptors in your brain to change your perception of pain. It also works like an antidepressant, prolonging the actions of norepinephrine and serotonin in the brain. Tramadol is available under several brand names, including ConZip, Rybix ODT, and Ultram. Another medication, Ultracet, is a combination of tramadol and acetaminophen.

Uses

This medication is used to help relieve moderate to moderately severe pain. Tramadol is similar to narcotic analgesics. It works in the brain to change how your body feels and responds to pain.

How to use it?

Take this medication by mouth as directed by your doctor, usually every 4 to 6 hours as needed for pain relief. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your doctor or pharmacist about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible).

Your dose of tramadol will depend on your level of pain and how you react to the medication.

Your doctor may start at a low dose and gradually increase it to find the dose that works for you.

This is a typical dosing schedule for someone just starting to take tramadol regular-release tablets:

  • Your doctor will most likely start with 25 milligrams (mg) each morning.
  • That may increase by separate doses of 25 mg every three days to reach a maximum dose of 100 mg a day (25 mg, four times a day), depending on how much the medication is relieving your pain.
  • If necessary, your doctor may increase by separate doses of 50 mg every three days to reach a maximum of 200 mg a day (50 mg, four times a day).
  • A normal adult dose should not go above 400 mg a day.
  • For someone with cirrhosis (liver damage), the daily dose should not be above 100 mg in a 24-hour period.
  • For someone with kidney disease, the daily dose should not be above 200 mg.
  • For someone older than 75, the daily dose should not be above 200 mg.

You can take regular and dissolving tablets with or without food about every four to six hours as needed.

Before you take the tramadol tablets, make sure your hands are dry and remove the medication from the packaging very carefully.

Don't push dissolvable tablets through the foil packaging. Place the tablet on your tongue immediately.

You should usually take the long-acting, extended release tablets or capsules at the same time every day.

Don't chew, open, split, or crush the medication. Swallow tramadol whole with a glass of water.