Ultram Dose for Special SituationsIf you have significant kidney dysfunction, the maximum recommended dosage of Ultram is 100 mg every 12 hours. Dialysis does not remove much of this medication from the blood, so you can take your normal dosage on dialysis days.
If you have cirrhosis of the liver, the maximum recommended dose is Ultram 50 mg every 12 hours.
If you are over 65 years of age, your healthcare provider should start you on a low dosage of Ultram and increase your dose with caution. If you are over 75 years old, the maximum recommended dose is 300 mg total per day.
General Information on Dosing With UltramSome considerations for people taking Ultram include the following:
- The medication comes in tablet form. It is taken by mouth, typically every four to six hours as needed for pain.
- In many cases, your healthcare provider may recommend that you start with a low dose and slowly work up to a higher one.
- You can take your Ultram dosage with or without food. If the medication bothers your stomach, try taking it with a little food.
- Do not drink alcohol while taking this medication (see Tramadol and Alcohol).
- For the medication to work properly, it must be taken as prescribed. Do not increase your dose without your healthcare provider's approval. Also, do not suddenly stop taking Ultram, especially if you have taken it regularly for more than several weeks (see Tramadol Withdrawal).
- If you are unsure about anything related to Ultram dosing, please talk with your doctor, nurse, or pharmacist. Do not stop taking the drug without first discussing it with your healthcare provider.