Tramadol-How much do you take at one time?

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hopegirl
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Date Joined May 2008
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   Posted 3/2/2009 1:59 PM (GMT -6)   
For those of you who take tramadol, how much do you take at one time?
My doctor prescribed Tramadol HCL 50 mg to take 1 tablet as needed every 6 hours as needed, but then she said I can take up to more if needed (at the time I didn't think to ask but how much is more? Didn't I read where you can take up to 300mgs a day?)
 
 
Monica
 
Fibromyalgia, Anxiety, IBS, Reflux, Insomnia,
Lyrica 200Mg X2/ Zolft 150 Mg/Ambein CR/Zantag (presc strength)
Taking it one day at a time.... 


Sherrine
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   Posted 3/2/2009 2:07 PM (GMT -6)   
Monica, either call your doctor and ask or talk to your pharmacist.  They would have the correct answer for you and for the medicines you take.
 
Sherrine
Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


pattipanda
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Date Joined Jan 2009
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   Posted 3/2/2009 2:07 PM (GMT -6)   

Hi Monica!

I take Tramadol too.. 50 mgs (1) every 6 hours or as needed.  I talked to my dr. last week about just this subject.  He said I could take as many as 4x a day so, that would be 200mgs a day, at least for me.  I'm sure alot of it has to do with your size and weight. (I'm no lightweight, about 40 lbs overweight  eyes  )  If you're not 100% sure what's right for you.. call your Dr. - they'd rather you call and ask and take your meds properly than just guess.  And if you're in extreme pain, you should let them know that, too.

Hope that helps.

Warm hugs,


Patti
 
Fibormyalgia, 4x Lyme Disease Survivor, Depression, Anxiety Disorder, Dyslexia, 2 Lumbar Disk Herniations, Allergies, Bi-lateral Carpal Tunnel, Psoriasis. 
Meds = Elavil, Tramadol, Xanax, Lipitor
"Shoot for the moon, even if you miss, you'll land among the stars" - author unknown


getting by
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Date Joined Sep 2007
Total Posts : 33711
   Posted 3/2/2009 2:10 PM (GMT -6)   
Hi Hopegirl,

I think that you should ask your doctor about this or maybe the pharmacist.

I don't take tramadol, so I am not sure what the answer to your question. But I think your doctor would be the best person to ask. If it says one tab every six hours as needed, I wouldn't exceed that without talking to the doctor. You may need a medication adjustment if it isn't working. Or even a change of meds.

I hope that you feel better soon. Remember that we are here to help you as much as we can.

Hopefully soon somebody will come along with a better answer for you.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


julieleaps
Regular Member


Date Joined Oct 2008
Total Posts : 257
   Posted 3/2/2009 6:59 PM (GMT -6)   
Monica - I am on tramadol, and you have read correctly: the maximum dose in a 24 hour period is 300 mg. I take 50 mg tabs, up to 6 a day. My "day" is not often 24 hours, but occasionally I'm up til 3 or so and if I'm in pain, I'll take one.

That being said, I agree with the others about checking with your doc. My rheumy was trying a new protocol for me with Neurontin and didn't want me taking extra tramadol until we had a chance to see what the neurontin did.

Hope that helps,
Julie
Still learning how to manage my Fibromylagia, and all the lovely gifts it brings.   
I had severe spinal stenosis, had fusion done on C5-7, and my life has changed. 
 
 


hopegirl
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Date Joined May 2008
Total Posts : 691
   Posted 3/3/2009 8:50 AM (GMT -6)   
julieleaps said...
Monica - I am on tramadol, and you have read correctly: the maximum dose in a 24 hour period is 300 mg. I take 50 mg tabs, up to 6 a day. My "day" is not often 24 hours, but occasionally I'm up til 3 or so and if I'm in pain, I'll take one.

That being said, I agree with the others about checking with your doc. My rheumy was trying a new protocol for me with Neurontin and didn't want me taking extra tramadol until we had a chance to see what the neurontin did.

Hope that helps,
Julie

 
Thanks for the replies and concern with checking with my Doctor. My doctor said the same thing as Julie said not more than 6 a day. With my flares though, this does seem to be enought and when I take the percocet when this is in my system, it doesn't seem to be as effective pain relieve as when its not.
 
 
Monica
 
Fibromyalgia, Anxiety, IBS, Reflux, Insomnia,
Lyrica 200Mg X2/ Zolft 150 Mg/Ambein CR/Zantag (presc strength)
Taking it one day at a time.... 


BettyBoop1946
New Member


Date Joined Jul 2010
Total Posts : 3
   Posted 7/4/2010 2:25 PM (GMT -6)   
Tramadol is very addicting. Use it only when you really need it.
Also taking tyleol with tramadol (ultram) can make it work a little better. Again don't over do that either.
My daughter was taking Tramadol for about 8 years. As much as 6 a day...she eventaully neede to be detoxed/ Tramadol is an opiate.

BettyBoop1946
New Member


Date Joined Jul 2010
Total Posts : 3
   Posted 7/4/2010 2:27 PM (GMT -6)   
the name for the medication that has both tramadol and tylenol is Ultacet
"DRUG CLASS AND MECHANISM: Ultracet is a combination of two drugs, tramadol (Ultram) and acetaminophen (Tylenol), that is used to relieve moderate, acute pain such as pain following dental or surgical procedures. Tramadol and acetaminophen each relieve pain, but they do so by different mechanisms. Tramadol achieves pain relief in two ways. It binds to the ยต-opioid receptor on nerves (the same mechanism that is responsible for the effectives of narcotics, such as morphine), and it also inhibits the reuptake of serotonin and norepinephrine by nerves. This inhibition may lead to reduced transmission of pain signals through the spinal cord to the brain. Acetaminophen achieves pain relief in the spinal cord and brain by increasing the threshold to pain, that is, by increasing the strength of the painful stimulus that is necessary in order to give rise to the sensation of pain. It does this by inhibiting an enzyme that makes prostaglandins. Ultracet was approved by the FDA in 2001. "

Alcie
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Date Joined Oct 2009
Total Posts : 3309
   Posted 7/5/2010 11:12 AM (GMT -6)   
Tramadol is one of the drugs that causes serotonin syndrome, especially at high doses over long time or if taken with other drugs that also cause it. I get muscle twitches if I take more than 2 or 3 a day. That's the warning sign!

I agree that taking Tylenol with it helps potentiate the relief. I got into trouble though, with taking tramadol and Neurontin. I had muscle spasms starting in my thigh, running up into abdomen, then stopping diaphragm for a few seconds at a time.

Research "your drug and tramadol" to find out if there are any known interactions.
Alcie
 
 


vestabula
Veteran Member


Date Joined Nov 2008
Total Posts : 2783
   Posted 7/5/2010 12:16 PM (GMT -6)   
Tramadol may increase the level of liver enzymes and may decrease creatinine and hemoglobin levels due to Travmadol's potentially toxic effect on the liver. Monitoring of these levels should be done in patients who take Tramadol on a regular basis. Caution should be used in patients who are also prescribed a selective serotonin reuptake inhibitor (SSRI) as Tramadol may increase the risk of serotonin syndrome.

Read more: What is Tramadol? | eHow.com http://www.ehow.com/about_4572008_what-is-tramadol.html#ixzz0spSohwwV
 
This info came from the the site listed.  Be very careful if you take SSRI/SNRI's with this drug.
 
Donna

fibro, menieres disease, RLS, anxiety disorder, disc compression, scoliosis, spinal stenosis TMJ  Meds: valium Advil
 
Reach out and touch someone.  If they don't touch you back it's because you still  have brownie batter on your face.


GSDgirl
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Date Joined Mar 2010
Total Posts : 1286
   Posted 7/5/2010 9:38 PM (GMT -6)   
Hi, I take tramadol and my script says 1 or 2 up to 4 times a day as needed.  My doc writes a 100ct script per month but my dog probably takes more than I do, for her it is a severe lack of hip sockets and at 8 years old she is getting a little gimpy.  For me to buy them at the vets it would cost me a fortune.
Denise from Pittsburgh, Pa
 ***diagnosis: high blood pressure, gastritis, fibromyalgia, hepatitis (SVR/cleared),  disc problems in neck, depression, anxiety & stress, cervical headaches, porphyria-PCT, IBS
 ***meds: metroplol 25mg, zoloft 150mg, gabapentin 300mg 3x a day zocor , (soma, fioronal, tramadol, as needed).
 ***other supps: calcium, vit D 2,000-4,000 per, milk thistle, vit C &E, acidopholos (sp?),  
CO-Q 10,  flax or fish oil, ginsing, magnesium, B complex,
 


BLF
New Member


Date Joined Feb 2013
Total Posts : 1
   Posted 2/17/2013 2:43 AM (GMT -6)   
Should I be worried? My husband is taking 8, 50MG Tramadol HCL tablets twice a day?

Angelic_Victory
Veteran Member


Date Joined Sep 2012
Total Posts : 1887
   Posted 2/17/2013 4:17 AM (GMT -6)   
As long as he is within the boundary of what his doctor prescribed he's fine. I have 50 mg tramadol that I can take 1 or 2 or up to 3 times a day. I don't feel I'm addicted or even dependent. I go months without taking one. I used my 6 today to take the edge off of some dental pain (broken tooth) and knee pain. I was given it mostly for my arthritis because I can't take nsaids.
As long as he is following the prescription he is ok. If he's using more then maybe he needs to let the doctor know that he is taking more and why. Is he addicted or is it just not enough to cover his pain.
Nail patella syndrome, osteoarthritis, complex migraines, eosinophilic esophagitis, major depressive disorder, OCD, and fibromyalgia, IBS

Meds: flovent 220 mcg, flexeril 10 mg, zonisanide 100 mg, omeprazole 40 mg, Cymbalta 60 mg,dicyclomine 20 mg, elavil, 10 mg, Xanax prn, hydrocodone prn.

vestabula
Veteran Member


Date Joined Nov 2008
Total Posts : 2783
   Posted 2/17/2013 10:12 AM (GMT -6)   
Some forms of Tramadol include Tylenol as an ingredient (Ultracet) and that's when you have to be careful on how many you take in a day.  My dog was put on tramadol for severe arthritis and his liver shut down.  Unbelievably, my vet was not aware of the amount of Tylenol that's in the drug.
 
Jess sayin'
 
Donna

Myself 09
Veteran Member


Date Joined Dec 2009
Total Posts : 4026
   Posted 2/17/2013 11:16 AM (GMT -6)   
I take 100 mg in the morning. I am rated for 300 mg daily, but never take it past 5 pm. It gives me energy, and makes it difficult to wind down at theend of the day.
Fibromyalgia DX 2005. Ulcerative Colitis 2003, Crohn's 2013. Family History of Fibro--2 out of 3 siblings diagnosed.

There are three kinds of people in the world: ones who see the glass as half-full, ones who see the glass as half-empty, and others who see a big crack in the side which is leaking all over their %$#@# foot.

bwfm
Regular Member


Date Joined Apr 2010
Total Posts : 413
   Posted 2/17/2013 7:08 PM (GMT -6)   
Be careful about Tramadol also because it will cause seizures if you take too much.

Izzy5
Regular Member


Date Joined Oct 2011
Total Posts : 89
   Posted 2/18/2013 8:42 PM (GMT -6)   
Definetly call the doctor. Also, this may just be me but when a medication goes horribly wrong for me I like to tell my story. Tramadol worked really well but my doctor increased my dose (can't remember the dosage) but the constipation was so bad I had to go to the hospital to get cleaned out. Look for signs of constipation. I was even taking large amounts of fiber and pills to help with a BM and nothing helped. Very scary,
Good luck.
Izzy
Diagnosed with: Major Depressive Disorder, Chronic Fatigue, Fibromyalgia, Interstitial cystitis, IBS, Degenerative Disc Disease, SI Joint Disorder, Sciatic nerve pain
BUT...I'm trudging along.

lilyflower
New Member


Date Joined Jun 2011
Total Posts : 17
   Posted 2/18/2013 9:11 PM (GMT -6)   
i take 75mg tramadol hcl a day. its a 24 hour release. i use to be on the shorter acting one, but i switched to this so i wasn't self medicating so much. i notice you are on lyrica too....i find that helps me a lot. i would like to get off tramadol eventually, but compared to other drugs ive tried its good. this combination has worked the best. but of course everyone is different and i still struggle with side affects.

Knowltonss
New Member


Date Joined Nov 2013
Total Posts : 1
   Posted 11/9/2013 7:54 AM (GMT -6)   
I can take two 50 mg tabs in the morning, but I cannot take any in the afternoon--or I cannot sleep. Restlessness, apnia, insomnia. Thus, I cannot imagine taking 6 throughout the day and being able to sleep.

diznyfrk
Regular Member


Date Joined Aug 2013
Total Posts : 297
   Posted 11/9/2013 10:05 AM (GMT -6)   
I am also on Tramadol. I take 2- 50mg pills 3 times a day. As Alcie said, it can cause Seritonin Syndrome. I was taking Tramadol along with my anti-depressant and I had to stop taking the anti-depressant due to internal shakes and muscle twitches. Tramadol works really good for me. It helps my pain better than Lortab but everyone is different.
Sharon
____________________________________________________________________________

Rheumatoid Arthritis, Sjogrens, Fibromyalgia, Chiari 1 Malformation, Osteoarthritis of the hip and neck, Heart Murmur, Acid reflux/gerd.
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