What is the maximum dose of tramadol you can take within 24 hours?
Question posted by Brenda McLeod on 8 Aug 2019
Last updated on 9 September 2019 by TVL76
3 Answers
I have been taking 400mg of tramadol Hcl per 24 hour period since 2006. My daily dose is two - 50mg tablets (100mg) every 6 hours or four times a day. My MD informed me that 400mg per day is the max dose for adults under 70 years of age. After age 70, the max dose decreases to 300mg per day. This dosage does not apply to the extended release nor time release version.
400mg a day(24 hr.)
100mg every 4 to 6 hr.
Usual Adult Dose for Chronic Pain
Extended-Release (ER):
18 years or older (tramadol-naive): 100 mg orally once a day
-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
-Maximum Dose: 300 mg/day
For patients CURRENTLY receiving Immediate-Release (IR) Tramadol:
Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day
Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy
-Initial dose: 100 mg ER orally once a day
-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
-Maximum Dose: 300 mg/day
Comments:
-Due to limitations of dose selection with ER formulations, some patients may not be able to convert from the IR to ER.
-The ER products should not be used with other tramadol products and should not be taken more often than once a day.
-Monitor patients closely for respiratory depression, especially within the first 24 to 72 hours of therapy and following dose increases.
-For patients with moderate to moderately severe chronic pain not requiring rapid onset of analgesic effect, tolerability can be improved by initiating slowly, possibly with the immediate-release product.
-This drug is not recommended for patients less than 18 years old.
Use: For the management of pain severe enough to require around-the-clock long-term opioid treatment for which alternative treatment options are inadequate.
Source: https://www.drugs.com/dosage/tramadol.html#Usual_Adult_Dose_for_Chronic_Pain
I'm prescribed 8 50 mg ER tablets a day. Hmm
Related topics
tramadol, chronic pain, dosage
Further information
- Tramadol uses and safety info
- Tramadol prescribing info & package insert (for Health Professionals)
- Side effects of Tramadol (detailed)
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