Formulary
Tramadol Hydrochloride: Indications, Dosing, Side Effects and Interactions
Tramadol Hydrochloride clinical drug profile including indications, dosing, side effects, cautions and interactions.
MedNext Academy | 3 min read
Tramadol Hydrochloride: Indications, Dosing, Side Effects and Interactions
Tramadol Hydrochloride clinical drug profile including indications, dosing, side effects, cautions and interactions.
Indications and dose
**Moderate to severe pain for tramadol hydrochloride**
- **Child 12-17 years** (By intramuscular injection, or by intravenous injection, or by intravenous infusion, or by subcutaneous injection): 50-100 mg every 4-6 hours, intravenous injection to be given over 2-3 minutes; Usual maximum 400 mg/24 hours.
**Moderate to severe acute pain for tramadol hydrochloride**
- **Child 12-17 years** (By mouth using immediate-release medicines): Initially 100 mg, then 50-100 mg every 4-6 hours; Usual maximum 400 mg/24 hours.
**Moderate to severe chronic pain for tramadol hydrochloride**
- **Child 12-17 years** (By mouth using immediate-release medicines): Initially 50 mg, then, adjusted according to response; Usual maximum 400 mg/24 hours.
**Postoperative pain for tramadol hydrochloride**
- **Child 12-17 years** (By intravenous injection, or by intramuscular injection, or by intravenous infusion, or by subcutaneous injection): Initially 100 mg, then 50 mg every 10-20 minutes if required up to total maximum 250 mg (including initial dose) in first hour, then 50-100 mg every 4-6 hours, intravenous injection to be given over 2-3 minutes; Usual maximum 400 mg/24 hours.
**Moderate to severe pain (with modified-release 12-hourly preparations) for tramadol hydrochloride**
- **Child 12-17 years** (By mouth using modified-release medicines): 50-100 mg twice daily, increased if necessary to 150-200 mg twice daily, doses exceeding the usual maximum not generally required; Usual maximum 400 mg/24 hours.
**Moderate to severe pain (with modified-release 24-hourly preparations) for tramadol hydrochloride**
- **Child 12-17 years** (By mouth using modified-release medicines): Initially 100-150 mg once daily, increased if necessary up to 400 mg once daily; Usual maximum 400 mg/24 hours.
Clinical governance
**Author:** MedNext Clinical Team. **Clinical reviewer:** Dr Shameer Deen, MBBS, MS, MRCS. **Sources:** BNF, Indian Pharmacopoeia, CIMS India. **Correction:** Report errors at support@mednext.academy.
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