If you think that this medicine is not working as well after you have been taking it for a few weeks, do not increase the dose. Instead, check with your doctor. It's available as a generic drug and as the brand-name drug Ultram. This risk is highest within three days of starting the drug or increasing your dosage. The total daily dose of mg tramadol hydrochloride should not be . Animal studies with tramadol at very high doses have revealed effects on organ.
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