Tramadol is used for short-term relief of moderate to severe pain, for example, pain following an operation or injury. Tramadol is a strong pain killer which also relieves chronic moderate to severe pain when weaker painkillers haven’t been effective.

Tramadol comes in different forms: as fast-acting capsules to treat around-the-clock pain, soluble tablets, tablets that melt in the mouth and oral drops. It also comes as slow-release capsules and tablets. All forms of tramadol can be taken either with or without food.

How to take fast-acting Tramadol?

If you have been prescribed fast-acting Tramadol: usually the dose for a healthy adult is 50mg to 100mg every four to six hours, up to a maximum of 400mg in 24 hours. Always follow the instructions given by your doctor regarding the dose you should take. Do not take more than prescribed by your doctor.

Fast-acting Tramadol in forms of capsules, soluble tablets, oral drops, and orodispersible tablets normally starts working very quickly, you can feel the effect a few hours after you take it.

Fast-acting Tramadol is prescribed to take only when needed to relieve strong pain. However, if you find you need to use fast-acting Tramadol on a regular basis, it is worth consulting your GP to look on the cause of your pain and possible treatments

Preparation of orodispersible tablets of Tramadol: tablets should be sucked and then swallowed. Alternatively, they can be dispersed in half a glass of water before taking.

What is Tramadol used for

Preparation of soluble tablets of Tramadol: tablets should be dissolved in at least 50ml water before taking.

How to take slow-release Tramadol?

Tramadol slow-release medication: modified-release capsules and modified-release tablets are designed to release pain slowly and continuously over the period of 12 or 24 hours. This provides steady blood levels of the medicine over the day and prolonged pain relief. Slow release forms of Tramadol are taken on a regular basis to control ongoing pain. It is extremely important to know which form you have been prescribed – you may be given a 12-hourly or 24-hourly formulation.

Tramadol is known under the different trade names, with different instructions of use.

  • Brands that should be taken twice a day at 12-hour intervals (eg 8 am and 8 pm) includeInvodol SR, Mabron, Maneo, Marol, Maxitram SR, Oldaram, Tilodol SR, Tramquel SR, Tramulief SR, Zamadol SR, Zeridame SR and Zydol SR.
  • Brands that should be taken once a day at the same time each day (every 24 hours) includeTradorec XL, Zamadol 24hr and Zydol XL.

Both Tramadol modified-release capsules and tablets must be swallowed whole. Do not break, crush or chew them, as this will result in the whole dose to be rapidly absorbed into your body and an overdose can happen.

Immediately contact your doctor if you accidentally take too much Tramadol, or if you feel that become sleepy or have very slow and/or shallow breathing after taking it. Be very careful if you have asthma or breathing problems. Tramadol can slow or stop your breathing.