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Tramadol is a narcotic-like pain reliever. It is used to treat moderate to severe pain. The extended-release form of it is for around-the-clock treatment of pain. This form is not for use on an as-needed basis for pain.

Take Tramadol exactly as prescribed. Follow all directions on your prescription label. It can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never take this medication in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain. This drug may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction.

Usual Adult Dose for Pain:

Immediate-release: 50 mg to 100 mg orally every 4 to 6 hours as needed for pain Maximum dose: 400 mg per day

Comments: -Dose should be individualized; for patients not requiring rapid onset of analgesic effect, the tolerability may be increased by initiating at the lowest possible dose and titrating upward. Use: For the management of moderate to moderately severe pain.

Usual Adult Dose for Chronic Pain:

For patients with moderate to moderately severe chronic pain not requiring rapid onset of analgesic effect, tolerance can be improved by initiating slowly.

Get emergency medical help if you have signs of an allergic reaction to drug: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Like other narcotic medicines, this can slow your breathing. Death may occur if breathing becomes too weak. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.Call your doctor at once if you have:

• noisy breathing, sighing, shallow breathing;
• a slow heart rate or weak pulse;
• a light-headed feeling, like you might pass out;
• seizure (convulsions);
• infertility, missed menstrual periods;
• impotence, sexual problems, loss of interest in sex;