Tramadol comes as a tablet and sustained release (long-acting) tablet to take by mouth. The tablet should be taken regularly with or without food every 4-6 hours as needed. Prolonged tablets should be taken once a day. Enable extended-release tablet at about the same time of day every day, and always take with food or always take without food. Take tramadol exactly as directed. Do not exceed the dose of a single dose or take more doses per day than prescribed by your doctor. Taking more tramadol than prescribed by your doctor may cause serious or fatal side effects.
Your doctor may start with a low dose of tramadol and gradually increase the amount of medications you take, no more frequently than every three days, if you take regular tablets or every 5 days if extended-release tablets.
Swallow extended-release tablets, cut, chew, or crush. Do not snort (dust inhalation crushed tablet) or inject the dissolved extended-release tablets. Take this medicine in a way that is not recommended may cause serious side effects or death.
This medication may cause dependence. Do not take a larger dose, take it more frequently or take it for a longer period of time than prescribed by your doctor. Call your doctor if you notice that it intends to take additional medications or if you notice any unusual changes in behavior or mood.
Do not stop taking tramadol without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop taking tramadol you may experience withdrawal symptoms such as nervousness, panic, sweating, difficulty falling asleep or staying asleep, runny nose, sneezing, coughing, numbness, pain, sensation burning or tingling in hands or feet, hair standing on end, chills, nausea, uncontrollable shaking of a part of your body, diarrhea, or rarely, hallucinations (seeing things or hearing voices that not exist).
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