Tramadol Hydrochloride

Adults: Capsule or Tablet The usual dose of Tramadol Hydrochloride is 50 to 100 mg every four to six hours. For acute pain, start with 100 mg. For chronic painful conditions, the recommended starting dose is 50 mg. After that, give 50 to 100 mg every 4 to 6 hours. How much you give and how often depends on how severe the pain is. The total daily dose by mouth should not go above 400 mg. Sustained Release Capsule or Tablet Take one SR capsule or tablet every 12 hours, for example the first in the morning and the next at the same time in the evening. The number of capsules taken at one time depends on the severity of the pain, but they should not be taken more often than every 12 hours. The total daily dose by mouth should not go above 400 mg. Injection A dose of 50 to 100 mg may be given every 4 to 6 hours, either by intramuscular injection or by intravenous infusion. For postoperative pain, the first dose is 100 mg, followed by 50 mg every 10 to 20 minutes if needed, up to a maximum of 250 mg in the first hour. After that, doses are 50 to 100 mg every 4 to 6 hours, up to a total daily dose of 600 mg. Suppository Tramadol suppositories are given rectally. For adults the usual dose is 100 mg of Tramadol Hydrochloride every 6 hours. In general, 400 mg per day (4 suppositories) is enough. For cancer pain and severe pain after operations, much higher daily doses can be used.