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-Initial Dose for patients CURRENTLY receiving immediate-release tramadol: Calculate the 24-hour immediate-release requirement and initiate with a total daily dose rounded down to the next lowest 100 mg increment given orally once a day -Individualize dose as needed and as tolerated -Maximum Dose: 300 mg per day
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-Initial Dose for patients CURRENTLY receiving immediate-release tramadol: Calculate the 24-hour immediate-release requirement and initiate with a total daily dose rounded down to the next lowest 100 mg increment given orally once a day -Individualize dose as needed and as tolerated -Maximum Dose: 300 mg per day
The seizure risk is also increased in patient taking Ultram concomitantly with selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs) or other tricyclic medications, such as cyclobenzaprine or promethazine, other opioids, monoamine oxidase inhibitors (MAOIs), neuroleptics or other medications that reduce the seizure threshold. The risk of convulsions may also be increased in patients with epilepsy, a history of seizures, or in patients who already have a risk for seizures, such as head trauma. There is also a suicide risk possible with Ultram treatment.
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