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Tramadol Hydrochloride (generic Ultram ER) 200mg

Tramadol Hydrochloride 200mg

Brand Name: Ultram ER®

Information on Tramadol Hydrochloride


Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.

Other strengths for generic Ultram ER: 100mg, 200mg, 300mg

Note: This product is provided as a 100mg pill. You must take 2 pills to make a 200mg dose.

Generic Tramadol Hydrochloride 200mg
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The pharmacy dispenses the product displayed. In the case of a product shortage, the pharmacy may substitute with an alternative generic.

Other Known Brand Names for Ultram ER

  • Contramal SR (Abbott Global)
  • Domadol SR (Unichem Laboratories Ltd.)
  • Nobligan SR (Sarabhai Chemicals)
  • Orchidol SR (Orchid Healthcare)
  • Sternix P (Canixa Life Sciences Pvt. Ltd.)
  • Top Dol SR (HAB Pharmaceuticals & Research Ltd.)
  • Tram PD (Alchemist Ltd.)
  • Tramadol ER (Various Manufacturers)
  • Tramagold SR (Goldline Pharmaceuticals)
  • Tramatas SR (Intas Pharmaceuticals Pvt. Ltd.)
  • Tramazac (Zydus Cadila)
  • Tramazac OD (Zydus Group)
  • Tramazac TC (Zydus Alidac)
  • Z-DL (HAB Pharmaceuticals & Research Ltd.)
  • Ultram ER


Take tramadol exactly as prescribed. Never take tramadol in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Tramadol can be taken with or without food, but take it the same way each time.

Do not crush, chew, or break a tramadol tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.

To take tramadol orally disintegrating tablets (Rybix ODT):

  • Keep the tablet in its blister pack until you are ready to take it.
  • Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
  • Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
  • Swallow several times as the tablet dissolves. If desired, you may drink liquid to help swallow the dissolved tablet.

If you use the tramadol extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.

Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.

Store tramadol at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Tramadol is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.


Usual Adult Dose for Pain

For mild to moderate severe chronic pain not requiring rapid onset of analgesic effect:

Initial dose: 25 mg every morning

Titration: increase in 25 mg increments as separate doses every 3 days to reach 100 mg per day taken as 25 mg 4 times per day. Then the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg per day taken as 50 mg 4 times per day.

Maintenance: After titration, tramadol 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg per day.

For the management of moderate to moderately severe chronic pain in adults who require around-the-clock treatment of their pain for an extended period of time:

Extended-Release Tablets:

Initial Dose: 100 mg once daily and titrated up as necessary by 100 mg increments every five days to relief of pain and depending upon tolerability.

Maximum Dose: Extended-release tablets should not be administered at a dose exceeding 300 mg per day.

For patients in whom rapid onset of analgesic effect is required and for whom the benefits outweigh the risk of discontinuation due to adverse events associated with higher initial dose:

Dose: 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours, not to exceed 400 mg per day.

Tramadol Extended-Release (ER):

Patients not currently treated with tramadol immediate-release:

Initial dose: 100 mg once daily and titrated up as necessary by 100 mg increments every 5 days to relief of pain and individualized according to patient need and tolerability.

Maximum dose: 300 mg per day

Patients currently on tramadol IR:

Calculate the 24-hour tramadol IR dose:

Initial dose: Round down to the next lowest 100 mg increment. The dose may subsequently be individualized according to patient need and tolerability.

Maximum dose: 300 mg per day

Due to limitations in flexibility of dose selection with tramadol ER, some patients maintained

on tramadol IR products may not be able to convert.

Disclaimer: Information and data on Tramadol Hydrochloride (generic Ultram ERĀ®) found on this website is for informational purposes only. This information does not constitute legal advice and it is recommended to first check all information with your medical practitioner.

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