tramadol, Ultram, Ultram ER, Conzip (cont.)

Pharmacy Author:
Medical and Pharmacy Editor:

Less commonly reported side effects include:

Some patients who received tramadol have reported seizures. It may cause serotonin syndrome when combined with other drugs that also increase serotonin (see drug interactions section).

Abrupt withdrawal of tramadol may result in:

Tramadol can cause psychological or physical dependence similar to other narcotics. Tramadol is a schedule IV medication on the federal list of controlled substances.

PRESCRIPTION: Yes

GENERIC AVAILABLE: Yes

PREPARATIONS:

  • Tablets (immediate release): 50 mg.
  • Tablets (extended release): 100, 200, and 300 mg.
  • Capsule (extended release): 100, 200, 300 mg.

STORAGE: Tramadol should be store at room temperature, 15 C to 30 C (59 F to 86 F). It should be stored in a sealed container.

DOSING: The recommended dose of tramadol is 50-100 mg (immediate release tablets) every 4-6 hours as needed for pain. The maximum dose is 400 mg/day. To improve tolerance patients should be started at 25 mg/day, and doses may be increased by 25-50 mg every 3 days to reach 50-100 mg/day every 4 to 6 hours. Tramadol may be taken with or without food.

The recommended dose for extended release tablets is 100 mg daily which may be increased by 100 mg every 5 days but not to exceed 300 mg /day. To convert from immediate release to extended release, the total daily dose should be rounded down to the nearest 100 mg. Extended release tablets should be swallowed whole and not crushed or chewed.

Medically Reviewed by a Doctor on 2/25/2015


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