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Tramadol ER Dosage

Your dosage of tramadol ER will be based on various factors, such as the type and dose of other painkillers you have taken, the severity of your pain, and other medications you are taking. For people who are not switching from short-acting tramadol, the recommended starting dosage is 100 mg once daily. Your healthcare provider may slowly increase your dose as necessary, until a maximum of 300 mg daily is reached.

Tramadol ER Dosage: An Introduction

The dose of tramadol ER (ConZip™, Ultram® ER, Ryzolt®) that your healthcare provider recommends will vary, depending on a number of factors, including:
 
  • The severity of your pain
  • How you respond to tramadol ER
  • The type and dose of other painkillers you have taken
  • Other medications you are taking
  • Other medical conditions you may have.
     
As is always the case, do not adjust your dosage unless your healthcare provider specifically instructs you to do so.
 

Tramadol ER Dosing for Pain

Even though there are three different tramadol ER medications available (ConZip, Ryzolt, and Ultram ER), the recommended dosages are the same.
 
For people who are not switching from short-acting tramadol, the recommended starting dose of tramadol ER is 100 mg once daily. Your healthcare provider may slowly increase your dose as necessary (by 100 mg every five days), until a maximum of 300 mg daily is reached.
 
If you are switching to tramadol ER from short-acting tramadol, your healthcare provider will calculate your tramadol ER dosage based on your current tramadol dosage. The total amount of tramadol you currently take per day will be calculated and rounded down to the nearest 100 mg strength. For instance, if you take a total of 250 mg of tramadol per 24 hours, your starting tramadol ER dosage will be 200 mg once daily. The maximum dosage of tramadol ER is 300 mg once daily.
 
If you are over 65 years old, your healthcare provider should start with a low dose of tramadol ER and increase your dose with caution. If you are over 75 years old, tramadol ER should be used only with great caution, due to the increased risk of side effects in older individuals.
 
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Tramadol ER Drug Information

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