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Assess each patient's risk prior to prescribing tramadol hydrochloride . initial dose of tramadol hydrochloride extended-release tablets is mg once daily. SUBOXONE. BUPRENORPHINE HCL/NALOXONE. HCL. 2 MGMG. FILM. SUBLINGUAL. PRISTIQ ER. DESVENLAFAXINE SUCCINATE. MG. TAB ER 24H. ORAL. 31 ULTRAM. TRAMADOL HCL. 50 MG. TABLET. ORAL. RYZOLT. TRAMADOL HCL. MG. TBMP 24HR. ORAL. Dec 15, - For patients not currently treated with tramadol immediate-release (IR) products, ULTRAM ER should be initiated at a dose of mg once. Untold Dangers of Tramadol Abuse (Award winning Documentary)