Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactionsįor patients CURRENTLY receiving Immediate-Release (IR) Tramadol:.Usual Adult Dose for Chronic Painġ8 years or older (tramadol-naive): 100 mg orally once a day Use: For the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Tramadol should not be used postoperatively in patients up to 18 years after tonsillectomy and/or adenoidectomy or in adolescents up to 18 years who are obese or have conditions that may increase the risk of breathing problems.The US FDA warns against use of tramadol in pediatric patients product labeling for immediate-release tramadol describes adult patients as 17 years or older.Doses should be individualized for patients not requiring rapid analgesia, tolerability may be increased by a slow dose titration.
Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain
