The recommended dose for extended release tablets is 100mg per day which can be increased by 100mg every five days but not to exceed 300mg per day. These tablets should be swallowed whole and should NEVER be crushed or chewed.
The immediate release tablets should be taken every 4 to 6 hours with the maximum dosage of 400mg per day. The patient is advised to start of by taking 25mg daily which is then increased to 50mg every three days. It can be taken with a glass full of water or with food.
If you miss a dose, take it as soon as you remember. However, DO NOT take a double dose. In case of an overdose, seek medical help immediately. Never stop medication suddenly as it causes unpleasant withdrawal symptoms.
Points to Note Before Taking Tramadol
- You should not take this drug if you are an addict, was an addict or have recently used any of the following: alcohol, stress and depression relievers, medication for mental illnesses, sedatives or tranquilizers and any narcotic Pain Medicine.
- Inform your physician if you are suffering from kidney, liver or stomach diseases and if you have a history of depression, suicidal attempts or mental illness.
- The drug can produce an allergic effect hence the need to let the doctor know if you are allergic to any medicine.
- It's not recommended for pregnant and lactating mothers not unless directed by a doctor.
The more serious adverse effects are: convulsions, difficulty in breathing accompanied by weak pulses and red blistering and peeling of the skin. The less serious effects are: nausea, blurred vision, insomnia, dizziness and drowsiness as well as loss of appetite.