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Author: Admin | 2025-04-28
HomeQ & AQuestionsWhat is the maximum dose of... Question posted by Brenda McLeod on 8 Aug 2019 Last updated on 19 August 2024 by Jrose311 Can a doctor prescribe more than the 400 mg of tramadol to a patient for daily chronic pain. I just wasn't sure if there was a bypass for that. I have been on 400mg for years and I do have sleepless nights due to sever chronic back pain. My prescription states take 1 to 2 tablets every 4 to 6 hours to which I typically end up taking it every 4 hours just due to the nature of the industry which I work within. So that typically puts me at the 400mg prior to me trying to sleep at night. I have been taking 400mg of tramadol Hcl per 24 hour period since 2006. My daily dose is two - 50mg tablets (100mg) every 6 hours or four times a day. My MD informed me that 400mg per day is the max dose for adults under 70 years of age. After age 70, the max dose decreases to 300mg per day. This dosage does not apply to the extended release nor time release version. Kenneth Rakestraw 9 Sep 2019 400mg a day(24 hr.)100mg every 4 to 6 hr. Usual Adult Dose for Chronic PainExtended-Release (ER):18 years or older (tramadol-naive): 100 mg orally once a day-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions-Maximum Dose: 300 mg/dayFor patients CURRENTLY receiving Immediate-Release (IR) Tramadol:Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a dayConversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy-Initial dose: 100 mg ER orally once a day-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions-Maximum Dose: 300 mg/day Expand... Related topicstramadol, chronic pain, dosage Further information Tramadol uses and safety info Tramadol prescribing info & package insert (for Health Professionals) Side effects of Tramadol (detailed) Similar questions Search for questionsStill looking for answers? Try searching for what you seek or ask your own question.
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