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  • Tramadol overnight


Updated: Apr 23, 2023

Brand Name: Ultram, Ultram ER, Ryzolt, ConZip

Generic Name Tramadol Generic Name

Drug Class: Opioid analgesic

Tramadol is an oral medicine that helps alleviate ongoing moderate to moderately severe pain. Tramadol is like opioid (narcotic) analgesics. It is a brain chemical that works to alter how your body reacts to pain.

Tramadol is an opioid-like pain relieving oral medication that is utilized to treat moderate to severe pain in adults.

The extended-release-tablet formulation of this drug is used to treat moderate to severe chronic pain when treatment is needed around the clock.

Patients who are taking this medication should inform their doctor of any issues that arise that result from this medication , and also the occurrence of unusual reactions, signs or symptoms that indicate troublesome side effects.

Be careful to ensure that the medication is taken as directed.

The danger of dependence on opioids in general is typically very high. However, the chance of dependence to Tramadol isn't that high.

Check out the health information for patients leaflet included with the prescription for this medication and every refill of the prescription. There could be updated information on health.

Tramadol is available under the following brands: Ultram, Ultram ER, Ryzolt, and ConZip.


Dosages of Tramadol Should Be Given As Follows:

Oral Dose

Tincture 5-15 drops or 1-3 drops of extract from fluid.

Adult Dosage Forms & Strengths

Tablet: Schedule IV


Suspension, Reconstituted

10 mg/mL

Capsule, Extended Release: Schedule IV

Pediatric Dosing Forms & Strengths:

Tablet: Schedule IV

Oral dose 50 mg

Suspension, Reconstituted

10 mg/mL

Dosage Considerations

Extended-release capsules or oral tablets should not be chewed or crushed, divided or dissolving. It is also used in conjunction with acetaminophen.

Immediate Release

Chronic: 25 mg orally dose in the morning; increase to 25-50 mg/day over the course of 3 days until you reach 50-100 mg every 4-6 hours when needed; but not to exceed 400 mg/day.

Acute: 50-100 mg orally doses every 4-6 hours as required but not exceeding 400 mg/day.

Extended-Release Dose

100 mg taken orally daily at first; increase to 100 mg every five days, but not exceeding 300 mg per day.

Transfer from immediate release into extended release: Reduce daily dose to the nearest 100 mg

Do not crush, chew or break, nor split or dissolv

Dosing Modifications

Renal impairment that is severe (CrCl less than 30mL/min) immediate release, 50-100 mg taken orally every 12 hours Extended-release is not recommended.

Hepatic impairment severe: immediate release 50 mg oral tablets every 12 hours; extended-release is not advised

Pediatric Dosage Considerations

Immediate Release

Treatment for patients who are younger than 17 years old: Safety and effectiveness not proven

Treatment for patients aged 17 or older (acute) Treatment for patients 17 years and older (acute): 50-100 mg tablets taken orally every 4-6 hours depending on the need; but not to exceed 400 mg/day.

Treatment for patients aged 17 or older (chronic) Treatment for patients 17 years and older (chronic): 25 mg tablets taken orally every in the morning; gradually increase to 25-50 mg/day for 3 days in separate doses of up to 50-100 mg every 4-6 hours as required but not exceeding 400 mg per day.

Extended-Release Tablets

Treatment for children under 18 years old The safety and effectiveness of this treatment is not confirmed. Could pose health risks.

Geriatric Dosage Forms and Strengths:

Treatment for those who are younger than 65 years old Start at the lower end of the dosing range, but not exceeding 300 mg/day for those who are over 75 years old.

Treatment for children under 75 years old Limit to 300 mg of medication daily immediately release; exercise very cautiously with the extended-release formula of this medicine.

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