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Take tramadol by mouth as directed by your medical professional, usually every single four to 6 several hours as required for pain aid. You could possibly acquire tramadol with or devoid of food items. If you have nausea, it may help to just take tramadol with food items. Talk to your physician or pharmacist about other approaches to lower nausea (such as lying down for 1 to 2 several hours with as little head motion as you can). The dosage relies on your health care issue and response to the procedure. To lower your hazard of Negative effects, your medical doctor might prompt you to begin tramadol in a small dose and step by step raise your dose. Comply with your medical doctor's instructions thoroughly. The utmost recommended dose is four hundred milligrams every day. If you're more mature than 75 yrs, the maximum proposed dose is 300 milligrams a day. Usually do not boost your dose, consider tramadol additional regularly, or consider tramadol for an extended time than prescribed. 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