The dose of tramadol you are prescribed will depend on factors such as your age, how you respond to tramadol, and other medical conditions you may have. Generally, a healthcare provider will start you on a low dosage, such as 25 mg once daily in the morning. Your dosage may be increased slowly as needed, up to a maximum dosage of tramadol 400 mg total per day.
Dosing With Tramadol: An IntroductionThe dose of tramadol hydrochloride (Ultram®) your healthcare provider recommends will vary, depending on a number of factors, including:
- How you respond to tramadol
- Your age
- Other medications you are taking
- Other medical conditions you may have.
As is always the case, do not adjust your dosage unless your healthcare provider specifically instructs you to do so.
Tramadol Dosage for PainMost people are recommended to start with a low dosage of tramadol, such as 25 mg (half a tablet) once daily in the morning. Every three days, another 25-mg dose can be added until you are taking 25 mg four times a day. At that point, your healthcare provider may increase your tramadol dose by up to 50 mg per day every three days until a dose of 50 mg four times a daily is reached. Finally, your healthcare provider may then suggest a dose such as tramadol 50 mg to 100 mg every four to six hours as needed for pain, up to a maximum of 400 mg total per day.
In some situations, when rapid pain relief is necessary, your healthcare provider might recommend starting with the full dose of tramadol (50 mg to 100 mg every four to six hours as needed for pain, up to a maximum of 400 mg total per day). However, be aware that starting with the full dose increases your risk for bothersome or intolerable tramadol side effects.