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How Tramadol is Taken
Ultram (Tramadol) should always be taken exactly according to doctor instructions and the instructions on the label. You should never take larger doses than you have been prescribed, and the maximum daily dose is 300 milligrams a day. The medication is usually taken with a glass of water, and either with or without food.
When you are taking tramadol remember that it is for oral use only and should not be inhaled or diluted. This can have potentially fatal side-effects. If you are using extended-release capsules you should never crush or break them as this may cause the wrong amount of the drug to be released into your body at one time.
When using extended-release tablets the shell may pass into your stools, which is completely normal. If you do not feel as though the medicine is working properly, however, you should let your doctor know as soon as possible. Do not change your overdose without first consulting your doctor.
If you suddenly stop using the drug you may experience withdrawal symptoms. These can range from anxiety and sweating to hallucinations, insomnia and breathing problems. Your doctor can help to minimize these symptoms by working out a process by which you should stop the medicine gradually.
If you miss a dose – You should take the missed dose as soon as you remember, or skip it if it is already time for your next dose. Do not take any extra medicine to make up for missing the dose.
If you overdose – Overdose of tramadol can be very serious so make sure to get medical attention if you think you have taken too much. You may also experience symptoms such as drowsiness, a slow heartbeat, cold skin and even coma.

