Tramadol is a prescription pain medication used to treat moderate to moderately severe pain. It’s a synthetic opioid analgesic, meaning it works in the brain to change how your body feels and responds to pain.

Not for children under 12, or for children under 18 after tonsil or adenoid surgery.

Tramadol Dosage Guidance (For Adults)

• Initial dose: 50–100 mg every 4–6 hours as needed.
• Maximum dose: 400 mg per day.
• Elderly or those with liver/kidney issues: Start at lower doses (e.g., 25–50 mg) and dose less frequently.

• Initial dose: 100 mg once daily.
• Titrate in 100 mg increments every 5 days as needed.
• Maximum dose: 300 mg per day.
• Do not crush or chew ER formulations.

Conclusion and Important Guidelines

• Take with or without food, but consistently one way.
• Do not exceed recommended doses due to risk of seizures or respiratory depression.
• Avoid alcohol and caution with other CNS depressants.
• Do not abruptly stop—can cause withdrawal; taper gradually if discontinuing.