Ultram

Recommended dosage

ADULTS

The usual starting dose for chronic pain is 25 milligrams once a day in the morning. The daily dosage is then increased every 3 days until it reaches 200 milligrams taken in four doses of 50 milligrams each. After the phase-in period, Ultram may be taken in doses of 50 to 100 milligrams every 4 to 6 hours, depending on the severity of pain. If rapid pain relief is needed, the phase-in steps can be skipped, though side effects will be more likely. The maximum dosage under any circumstances is 400 milligrams a day (300 milligrams for those over age 75).

For people with kidney problems, the usual starting dose is 50 to 100 milligrams every 12 hours; and the maximum per day is 200 milligrams. For those with cirrhosis, the usual dose is 50 milligrams every 12 hours.

CHILDREN

Safety and effectiveness in children under 16 years of age have not been established.

Overdosage

An overdose of Ultram can be fatal. If you suspect an overdose, seek emergency medical treatment immediately.

• Symptoms of Ultram overdose include:
  Difficult or slowed breathing, drowsiness, coma, seizures, cardiac arrest