The right way to use Tramadol starts from getting an understanding of the different dosage strengths available and about how they are used. Here is a small guide to using Tramadol according to the dosage strengths available.

What are the Tramadol dosage strengths available?

Tramadol from online pharmacies primarily comes in immediate release dosage strengths of 50mg, 100mg, 150mg, 200mg, and 300mg. You can also get the analgesic drug in extended release formulations of varying dosage strengths. The pain medication is manufactured by different drug companies, so there are bound to be some differences in the formulation, but the dosages and efficacy are mostly similar. Depending on the user and the condition being treated, the healthcare provider would start the drug course suitably. The prescription pain med is also available in combination with other drugs in order to enhance the effects of relief from the pain.

How is the Tramadol dosage prescribed?

There are many things to consider when prescribing Tramadol to the user. The drug is one that is used for its ability to widen the threshold at which pain is experienced, and also its potential in blocking pain signals from being transmitted to the brain. It is not suitable for as needed use or for immediate relief. The Tramadol pills are to be taken only when continuous pain management is required.

To this end, the factors to consider when prescribing the drug include the patient’s age, the severity of the pain symptoms, the condition being treated, duration of the drug course, and other drugs being used if any. The initial dosing is started with just the 50mg Tramadol. The healthcare provider will titrate the dose to higher amounts by increasing it slowly by adding 50mg every 5 days or every week. The dose would have to be taken three to four times a day depending on the pain-relieving effects required. The maximum amount of the drug that is recommended for use in a day is Tramadol 400mg. Taking the higher doses in the very first instance will increase the risk of side effects rapidly. It would also significantly raise the risk of tolerance and drug dependence.

Tramadol dosages should be given by the following aspects

Oral Dose

Tincture: 1 to 3 drops of fluid extract or else 5 to 15 drops.

Pediatric dosage forms and strengths

>> Pills: classified under schedule IV

>> 50 mg oral dose

>> Reconstituted, Suspension

>> 10 mg/mL

>> Dosage forms and strengths for adults

>> Tablet: classified under schedule IV

>> 50 mg

>> Reconstituted, Suspension

>> 10 mg/mg

Extended-release capsule: classified under schedule IV

>> 100 mg

>> 150 mg

>> 200 mg

>> 300 mg

Dosage considerations

Both oral tablet and extended-release capsules advised doing not chew, split, dissolved, and crushed and must not combine with acetaminophen.

For moderate to severe pain

Immediate-release dose

Chronic pain – initially, you should take 25 mg oral dose every morning. Dosage level can increase from 25 to 50 mg per day up to 50 to 100 mg by mouth orally for every 4 to 6 hours when the medication required. However, do not cross the limit of more than 400 mg per day.

Extended-release dose

Initially, 100 mg per day by mouth with or without water and it can increase by 100 mg per day on every 4 to 5 days but do not cross the limit of more than 300 mg per day.

The conversion from immediate release to extended release dosage should be in round total routine dosage reduced up to the nearest 100mg.

Never dissolve, crush, split, and chew the extended-release dosages.

Dosage modifications

In the case of severe renal impairment (Creatinine Clearance less than 30 mL/min): The recommended immediate release dosages are 50mg and 100 mg orally every 12 hours whereas extended tablets are not recommended.

For severe hepatic impairment: The recommended immediate release dosages are 50mg orally every 12 hours whereas extended tablets are not recommended.

Pediatric dosage considerations

Immediate release

For the patient under the age of 17 years old, the Safety and efficacy of the treatment are not established.

Treatment For 17 years who have acute pain should take 50 to 100 mg oral tablets between every four to six hours as the medication required. However, never cross the limit of 400 mg/day.

Treatment For patients 17 years and old who have chronic pain should take 25 mg tablets orally on every morning. Moreover, this dosage level can increase by 25 to 50 mg/day on 3 three days as separate doses up to 50 to 100 mg orally every four to six hours when the medication required. And do not exceed 400 mg per day.

Extended-release tablets

Safety and efficacy of the treatment are not established for the patient below 18 years old because the drug may cause severe risks to health.

Dosage strengths and forms of Geriatric

The recommended treatment for the people who are below 65 years is lower range dosage and should not exceed the limit of 300 mg per day in case if you are above 75 years old.

The recommended treatment for the people who are below 75 years old is immediate release tablets orally and should not cross the limit of 300 mg medicine per day. In case of extended release formulation, then it should be used with great caution.

How to take the Tramadol dosage effectively?

Whatever Tramadol dosage strength you are prescribed for your condition, the pain relief can be experienced in an effective manner by following the physician’s instructions. This means you should change the dosage on your own even it does not seem to be effective. The doctor will increase the dosage levels in a more controlled manner. Also, discontinuing the Tramadol medication should be done with the doctor’s help and not abruptly else you would have to face consequences like withdrawal side effects. There are also chances of getting addicted to the drug. Any such mishaps can be prevented in the first place by simply following the doctor’s orders. Tramadol is relatively safe to take even in the long term. Always consult with your healthcare provider for any dosage considerations or changes in the pain therapy.