What Is Tramadol?

Dosage Factors

Healthcare providers consider a patient's age, general health, and pain level when deciding on an appropriate dose of tramadol. For acute pain, the recommended dose for adults is fifty to one hundred milligrams every four to six hours as needed to control pain. Adults who take tramadol for chronic pain may use an extended-release tablet of one hundred milligrams. This is usually taken once per day. Patients who are seventy-five years old and older should not take more than three hundred milligrams of the immediate-release tablet in one day. This drug is not intended for use in patients under seventeen years old, and individuals who have certain pre-existing health conditions may need to have their dose adjusted. For example, patients who have liver cirrhosis are advised to take fifty milligrams of the immediate-release tablet every twelve hours, and individuals with severe liver impairment should not use tramadol at all. Patients with kidney issues and CrCl values of less than thirty milliliters per minute should take no more than two hundred milligrams of tramadol per day. The extended-release tablet is not recommended for patients with renal issues.

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