What is Tramadol

Tramadol is a synthetic (man-made) drug used as a pain reliever. It is an opioid (narcotic) pain medication used to treat moderate to severe pain. The exact mechanism of action of Tramadol is not completely known by researchers and doctors, but it's working is similar to Morphine.

Similar to other narcotics used as a pain reliever, patients using Tramadol might misuse the drug and become addicted to it, hence it is highly recommended to use this drug under close supervision of a doctor.

Forms & Dosage of Tramadol

Generic tramadol comes in the forms of Immediate-release oral tablet, extended-release oral tablet, extended-release oral capsule.

Branded tramadol are as follows:

  • Ultram which comes in the form of immediate-release oral tablet with a strength of 50 mg.
  • Ultram ER is the extended-release oral tablet which comes in strengths of 100 mg, 200 mg, 300mg
  • Conzip is the extended-release oral capsule brand which is available in 100 mg, 150 mg 200 mg, 300mg strengths.

Dosage of Tramadol

The dosage, drug form and how often should one use Tramadol depends on various factors which include the patient's age, the condition for which the treatment is needed, the severity of the condition and how the patient reacts to the first dose of Tramandol.

Dosage for moderate to severe pain:

Adult dosage (ages 18-64 years)

  • Immediate-release Tablet
  • General starting dosage is 25 mg once per day.
  • the dosage might increase by 25 mg every day till the patient reaches 100 mg per day. Later, the doctor might increase the dosage by 50 mg every 3 days according to the tolerance of the patient. The maximum dosage to be taken is 400 mg per day.

Extended-release tablet or capsule

If there's no on going intake of tramadol immediate-release tablets, the general starting dosage is 100mg once per day. The doctor might slowly increase the intake by 100mg every 5 days and the maximum dosage should be 300 mg per day.

However, if the patient is already taking Tramadol immediate-release tablets, the starting dose would be determined by the doctor based on the last dosage and the doctor may slowly increase the intake every 5 days.

Child dosage: (aged 17 years)

  • General starting dosage for children of 17 years is 25 mg once per day and the maximum dosage is 400 mg per day.
  • For children younger than 17, it's not known if the form of tramadol is safe so it is not recommended for this age group.