What type of Tramadol dosages is ideal for chronic pain?

Tramadol is a pain reliever and acts like narcotics which can be purchased from online sites. There are two types of doses for Tramadol called Extended Release (ER) and Immediate Release (IR), both can be obtained through Tramadol online overnight delivery option. The maximum dosage to treat a patient with ER is 300 mg per day and the maximum dosage to treat a patient with IR is 400 mg per day. Treatment procedures with tramadol follow a pattern and the dosage to treat a patient depends on the severity of pain encountered.

Tramadol Immediate-Release dosages for chronic pain:

Adult Dose for Chronic Pain:

For patients with mild to moderately severe chronic pain, the initial dose to start off will be, 25 mg every morning for three days. Then 25 mg has to be increased as a separate dose after three days. This dosage is to be continued for the next three days. Then again after three days another 25 mg has to be incremented as a separate dose. This process has to be continued until the maximum daily dose of 100 mg of tramadol is reached as 25 mg, 4 times a day. Then the total daily dose of tramadol should be increased by 50 mg for every three days in the same procedure, to reach 200 mg per day, taken as 50 mg of tramadol, 4 times a day. A similar pattern of tramadol dosage increment can be done as needed for pain relief, taking care that 400 mg per day dose is not exceeded.

Patients with rapid onset of analgesic effect and for who the benefits have to be given preference taking in the adverse effects associated, the tramadol dosage is 50 mg to 100 mg every 4 to 6 hours, but not more than 400 mg per day.

For patients between 4 – 16 years, tramadol dose will be 1 to 2 mg /kg/ dose for every 4 to 6 hours. The allowed maximum single dose for children in this age group will be 100 mg and the maximum daily dose is 8/mg/kg/dose or 400 mg/day.

For individuals who are 16 years and older, the initial dose of tramadol will be 50 to 100 mg every 4 to 6 hours and for patients who don’t require a rapid onset effect, initial tramadol dose can be started with 25 mg and then the dosage should be increased by 25 mg every 3 days up to 25 mg, 4 times a day. And then, the dose may be increased by 50 mg every 3 days till it reaches 50 mg, 4 times a day.

Tramadol Extended Release dosage for chronic pain:

The initial dose of tramadol extended-release for chronic pain will be 100 mg once daily and then 100 mg should be increased every 5 days to relieve the pain, and this increase in tramadol dosage should be administered according to need and tolerability.
Patients over 65 years are treated with ER oral tablets by dividing the permitted 300 mg dose in a day.


Being a habit-forming and addictive risk category drug, tramadol is suggested to be prescribed in this pattern for patients. And, 200 mg tramadol is a decent dose, sufficient to treat chronic pain either by following the gradual increase pattern or one dose pattern. Only in cases of severe chronic pain, a patient will have to consume the maximum allowed dose for a day.