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Tramadol (Ultram) is usually started at 25 mg per day. After slowly raising the dose over several days, a typical dose would be 50 to 100 mg by mouth every 4 to 6 hours as needed for pain.

Don’t take more than 400 mg per day o as serious side effects and even death may occur.

Tramadol extended-release (ER) is usually started at 100 mg per day and slowly increased over time. The maximum dose for the ER version is 300 mg per day.

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See also Warning section.This medication is used to help relieve moderate to moderately severe pain. Tramadol is similar to opioid analgesics. It works in the brain to change how your body feels and responds to pain.

How to use Tramadol HCL

Read the Medication Guide provided by your pharmacist before you start taking tramadol and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually every 4 to 6 hours as needed for pain relief. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your doctor or pharmacist about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible).

If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor’s instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the maximum recommended dose is 300 milligrams per day. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.

Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.

If you have ongoing pain (such as due to arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, this medication might be used for sudden (breakthrough) pain only as needed. Other pain relievers (such as acetaminophenibuprofen) may also be prescribed. Ask your doctor or pharmacist about using tramadol safely with other drugs.

Suddenly stopping this medication may cause withdrawal, especially if you have used it for a long time or in high doses. To prevent withdrawal, your doctor may lower your dose slowly. Tell your doctor or pharmacist right away if you have any withdrawal symptoms such as restlessness, mental/mood changes (including anxietytrouble sleeping, thoughts of suicide), watering eyesrunny nose, nausea, diarrheasweating, muscle aches, or sudden changes in behavior.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

Tramadol is an opioid painkiller. While some legitimate pharmacies may sell tramadol online, they always require a valid prescription from a doctor. Many other fake pharmacies sell the drug illegally.

If you suffer from severe pain, you should see a doctor and never attempt to self-medicate by purchasing prescription drugs online.

If you purchase tramadol from a fake pharmacy online, you could receive drugs that aren’t actually tramadol at all. If the pills are cut with powerful substances like fentanyl, overdose, and even death are possible.

What is Tramadol?

Tramadol is an opioid analgesic that is generally prescribed for moderate to moderately severe pain.

It is narcotic-like in its ability to relieve pain, but it does not have the same high risk for abuse generally associated with opioids. This does not mean it has no risk of dependency. When used consistently, tramadol will cause physical dependence. If abused, it is likely to cause psychological dependence as well.

It’s important to use tramadol only as prescribed. If you don’t have a prescription for the drug, you should not use it in any way.

There are some pharmacies that sell prescription drugs online.

The U.S. Food and Drug Administration (FDA) offers guidelines to be sure you are purchasing prescription drugs from a legitimate pharmacy. They should require a physician’s prescription, and they should be licensed by the state. Ask if they are licensed and require a doctor’s prescription. They should also have a licensed pharmacist available to answer any questions.

The pharmacy you choose should be based in the U.S. Overseas pharmacies are likely to be fake.

Fake Online Pharmacies

The majority of online pharmacies are scams. They may offer an instant prescription from a “doctor” after you answer a few questions. This is not a valid prescription.

Even if you believe you are making a legal purchase, it does not usually protect you from the law. Make sure any drug purchase you make is fully legitimate, both for health reasons and to avoid legal penalties.

There are many risks to purchasing a prescription drug online. First, there are legal risks associated with illegal purchases.

  • It is a felony to import drugs over the U.S. border except through very specific channels. Many online dealers are based in foreign countries. This potential criminal charge will be in addition to any other criminal charges that can be brought against you for the illegal purchase of controlled substances.
  • Systems are in place to screen packages for drugs, and they are growing in capability. Even if many illegal goods get through the system, it’s more likely you will get caught if you repeatedly purchase illegal prescription drugs online.

If a law enforcement agency hits an online store and manages to seize their servers, they may also acquire enough data on your purchases to charge you with a crime.

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