Tramadol (Ultram) can be administered orally, intravenously or intramuscularly and comes in a great variety of dosage forms. The most popular are regular or extended release tablets and capsules. There are also chewable tablets as well as effervescent tablets.
Tramadol can also be taken orally in the form of oral drops and is especially suitable for children. For intravenous or intramuscular administration, Tramadol is available as a sterile solution in ampoules. Tramadol also is an ingredient of many pain-relieving gels applied topically. Furthermore, Tramadol is a part of a great number of combined pain-killers. It is most commonly used in a combination with Paracetamol, Acetaminophen, Aspirin etc. to potent their effect.
The prescribed dosage of Tramadol (Ultram) depends mainly on the severity of pain and the age of the patients. A lower dose may be necessary if the patient is on certain other medications or has a history of renal or liver dysfunction.
Dosage for adults and children over 16 years old
The maximum single dose is 50-100 mg. The maximum dosage per day should not exceed 400 mg. In the cases of moderate pain a doctor may prescribe an initial dose of 25 mg and then if needed increase gradually to 50 or 100 mg. Tramadol can be taken 3 to 4 times a day. It is recommended to start with the lowest possible dose and increase it only in case the effect is not sufficient.
Tramadol can be administrated intravenously or intramuscularly in the same doses. When administered intravenously, it should be injected very slowly.
Dosage for children 4- 16 years old:
The standard dose is 1-2mg/kg/dose. This dose can be repeated 1 to 3 times a day.
Due to decreased metabolism, senior patients need a lower dosage of Tramadol. The maximum dose per day for patients over 75 years old should not exceed 300 mg divided in several doses.
Dosage adjustment in the case of renal or liver dysfunction
The medicine should be administered very cautiously in such circumstances. A lower dosage is recommended and greater intervals. Generally, the dose must be lower than 200 mg. In the cases of severe dysfunction, its usage is not recommended.
Because of its addictive potential, Tramadol should not be prescribed for extended periods of time unless it is absolutely necessary. It should be administered only under strict medical supervision and no dose changes should be made without the advice of a physician. If you have been using Tramadol for a longer period, your doctor may wean you off from it by gradually decreasing the prescribed dose.