How and how much Tramadol should I take? | Tramadol

How and how much Tramadol should I take?

Tramadol should always be taken as directed by your doctor to avoid unintended overdoses. The requirement varies greatly and can increase many times over during the course of treatment due to habituation, tolerance, and the need for tramadol. The maximum dose of 400mg per day should not be exceeded.

In order to treat the pain in the best possible way, the doctor often creates a scheme in which different combinations with other types of painkillers are used to use all the different points of attack of the pain to prevent and relieve the pain. Due to the obligatory breakdown in the liver and excretion via the kidneys, it is essential to reduce and adjust the dose if the function of one of the two organs is restricted. If the amount is calculated for a healthy patient in spite of a functional restriction, the drug quickly accumulates and overdoses and the signs of an opiate overdose up to a life-threatening coma with respiratory arrest can occur, even though these are extremely rare under tramadol. Opiate overdose is a very serious incident which can be easily treated with the antidote naloxone or naltrexone. Typical signs of an overdose are small pupils, so-called “pinhead pupils”, deep unconsciousness, drop in blood pressure, slowing of the heart rate as well as a slowing down of breathing up to complete respiratory arrest and the resulting reduced supply of oxygen to the body.

Application for children

Tramadol is approved for children from their first birthday. However, it is not recommended to take Tramadol until the age of 12. The reason for this is that many drugs, including tramadol and other opiates, reach the brain much more easily and quickly in children than in adults and have a strong effect there.

The reason for this is the so-called bloodbrain barrier, a cell layer that controls and limits the transfer of drugs to the brain in adults. In children this is not yet fully functional.However, from the age of 12 onwards, the use is very uncomplicated, especially in the form of effervescent tablets which are very pleasant for children. Suppositories should only be used after the age of 14.