Brand Name: Ultram, Ultram ER, Ryzolt, ConZip
Generic Name: tramadol
Drug Class: Opioid analgesic
What Is Tramadol (Ultram) and How Does It Work?
Tramadol is an oral medication that is used to help relieve ongoing moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works in the brain to change how your body feels and responds to pain.
Tramadol is a narcotic-like pain relieving oral medicine that is used as a treatment for moderate to severe pain in adults.
Patients taking this drug should alert their doctors about any problems from the use of this medication and any unusual side effects or symptoms or troublesome side effects.
Care should be taken to ensure this medication is taken exactly as prescribed.
The risk of addiciton to most opioid medications is usually, high. However the risk of addicton to Tramadol is not high.
Dosages of Tramadol Should Be Given As Follows:
- Tincture: 5-15 drops or 1-3 drops of fluid extract.
Adult Dosage Forms & Strengths
Tablet: Schedule IV
- 10 mg/mL
Capsule, Extended Release: Schedule IV
- 100 mg (ConZip, Ultram ER)
- 150 mg (ConZip)
- 200 mg (ConZip, Ultram ER)
- 300 mg (ConZip, Ultram ER)
Pediatric Dosing Forms & Strengths:
Tablet: Schedule IV
- Oral dose 50 mg
- 10 mg/mL
Extended-release capsule or oral tablet must not be chewed, crushed, split, or dissolved. Also combined with acetaminophen.
- Chronic: 25 mg oral dose every morning initially; increase by 25-50 mg/day every 3 days up to 50-100 mg orally every 4-6hr as needed; not to exceed 400 mg/day
- Acute: 50-100 mg oral dose every 4-6hr as needed; not to exceed 400 mg/day
Extended Release Dose
- 100 mg orally once daily initially; increase by 100 mg/day every 5 days; not to exceed 300 mg/day
- Conversion from immediate release to extended release: Round total daily dose down to nearest 100 mg
- Do not chew, crush, split, or dissolve
Severe renal impairment (CrCl less than 30 mL/min): Immediate release, 50-100 mg orally every 12hr; extended release not recommended
Severe hepatic impairment: Immediate release, 50 mg oral tablets every 12hr; extended release not recommended
Pediatric Dosage Considerations
- Treatment for patient under 17 years: Safety and efficacy not established
- Treatment for patients 17 years and older (acute): 50-100 mg oral tablets every 4-6hr as needed; not to exceed 400 mg/day
- Treatment for patients 17 years and older (chronic): 25 mg oral tablets every morning initially; increase by 25-50 mg/day every 3 days as separate doses up to 50-100 mg orally every 4-6hr as needed; not to exceed 400 mg/day
Extended Release Tablets
- Treatment for under 18 years: Safety and efficacy not established. May cause risks to health.
Geriatric Dosage Forms and Strengths:
- Treatment for under 65 years: Initiate at lower end of dosing range; not to exceed 300 mg/day if over 75 years.
- Treatment for under 75 years: Not to exceed 300 mg of medicine per day; immediate release; use great caution with extended release formulation of this medicine
Chronic Pain/Back Pain
Find tips and advances in treatment.