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Tramadol Dosage Guidelines Condition Recommended Dosage Frequency Mild Pain 50mg Every 4–6 hours as needed Moderate Pain 50–100mg Every 4–6 hours Chronic Pain 100mg ER Once daily Elderly Patients Start with 25mg Gradually increase as tolerated Maximum Daily Dose: 400mg for healthy adults; 300mg for elderly or those with liver/kidney issues. Never exceed the recommended dose. Combining Tramadol with alcohol benzodiazepines or other opioids increases the risk of respiratory depression. Drug Interactions to Watch out For Tramadol interacts with several common medications: SSRIs/SNRIs (e.g. Prozac Zoloft Effexor) – Increased risk of serotonin syndrome MAOIs – Contraindicated within 14 days CYP2D6 inhibitors (e.g. fluoxetine paroxetine) – Reduce Tramadol’s effectiveness Anticoagulants – May increase bleeding risk Alcohol – Enhances sedation and dizziness Always inform your healthcare provider about all medications and supplements you’re taking before starting Tramadol. 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