Tramox Dosage/Direction for Use

The dosage should be adjusted to the intensity of the pain and the sensitivity of the individual patient. Unless otherwise prescribed, Tramox Capsule should be taken as follows: Single dose for adults and adolescents over 12 years of age: 1-2 capsules (50-100mg tramadol hydrochloride) to be taken with a little liquid. If pain relief is unsatisfactory, a further capsules may be taken after about 30-60 minutes. If in severe pain the analgesic demand is likely to higher, the higher dose (2 capsules) can be taken as initial dose. The lowest analgesically effective dose should generally be selected. Daily doses of 400mg tramadol hydrochloride should not be exceeded, except in special clinical circumstances. For the treatment of severe post-operative pain, on-demand pain relief may require even higher doses in the first few hours. In general, over 24 hours more than the normal doses are not necessary.
Tramox is not approved for use in patients below 12 years old.
Paediatric population: The safety and efficacy of Tramadol has not been studied in the paediatric population. Therefore, use of Tramox is not recommended in patients under 12 years of age.
Geriatric patients: In acute pain a dosage adjustment is not necessary as Tramox is given only once or a few times. In chronic pain a dosage adjustment is usually not necessary in elderly patients (up to 75 years) with no clinically manifest hepatic or renal insufficiency. In old patients (above the age of 75 years) elimination may be prolonged. Therefore, if necessary the dosage intervals are to be extended according to the patient's requirements.
Hepatic and renal insufficiency/dialysis: In acute pain a dosage adjustment is not necessary as Tramox is given only once or a few times. In patients with severe renal and/or hepatic insufficiency Tramox should not be administered. In less severe cases prolongation of the dosage interval should be considered.
Duration of Treatment: Tramox must not be given for longer than therapeutically absolutely necessary. If long-term pain treatment is necessary, checks should be carried out at regular and brief intervals (if necessary with breaks in treatment) as to whether and in what doses further treatment with Tramox is necessary.
Route Of Administration: Oral.