Tramadol is a pain reliever. Tramadol affects chemicals and receptors in the body that are associated with pain.

Tramadol is used to relieve moderate to moderately severe pain.

Tramadol may also be used for purposes other than those listed in this medication guide.

Take Tramadol by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use Tramadol exactly as prescribed. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because Tramadol can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using Tramadol without your doctor's approval. When used for extended periods, Tramadol may not work as well and may require different dosing. Consult your doctor if the medication stops working well.

Take tramadol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

• Take each dose with a full glass of water.
• Tramadol can be taken with or without food.
• Side effects from treatment with tramadol may be decreased by a slow increase in dose, as directed by your doctor. The tablets can easily be broken in half at the score if needed. The maximum dose of tramadol for an average healthy adult is 100 mg per dose, every 4 to 6 hours, up to 400 mg per day. People over 75 years of age should not take more than 300 mg per day. People with liver or kidney disease may need lower daily doses. Follow your doctor's directions.
• Do not take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your doctor. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
• Store tramadol at room temperature away from moisture and heat.