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Tramadol Strengths

There is only one strength of tramadol hydrochloride (Ultram®) -- tramadol 50 mg tablets. A healthcare provider will consider several factors when determining your dosage, such as your age, how you respond to tramadol, and other medical conditions you may have, among other things.
Most people are advised 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 dose by up to 50 mg per day every three days until a dose of 50 mg four times 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 tramadol dose (tramadol 50 mg tablets 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 this strength increases your risk for bothersome or intolerable tramadol side effects.
(Click Tramadol Dosage for more information on tramadol strengths, including how your healthcare provider will determine your dosage and some tips on when and how to take this medication.)
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