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Just like with every other drug that requires proper prescription to work, so does tramadol. Either you buy tramadol online or offline, you would notice that it requires a certain level of prescription to work properly and effectively for the pain relief of the body. There are various factors that would be taken into account before deciding the dosage of tramadol for your pain. These considerations are your age, past family record of drug or alcohol abuse, and other medications you are currently taking for other diseases. Most of the times your doctor would prescribe you a starting dosage of 25mg daily, once in the morning but might vary depending upon the conditions just discussed. Your dosage of tramadol might be increased but at a very gradual pace so that it does not exceed 400mg per day. There are many factors like your age, previous family record of alcohol or drug abuse and other medications you are currently undertaking for other treatments. This article provides a general guideline of dosage instructions that might or might not be applied to everyone. Usually the dose starts off at 25mg taken once in morning. After 4 days another 25mg dose can be added if the results are not shown of pain relief. You may take a 25 mg of tablet 4 times a day making it a combined 100mg on the daily basis, but that would not be in less than 2 weeks. In the exact similar way the dosage instructions work for a 50mg tablet once a day in the morning to 4 times a day in 4 weeks’ time period. This gradual pace of increasing the drug is very efficient and effective as the results so that the person gets his body adjusted easily to the changes in dosage instructions. There are some worst care scenarios as well where your doctor might recommend you the starting dosage of as high as 100mg 4 times a day. this is taken only as a last resort if there is no relief from the pain. If a person is suffering from kidney disease, then the maximum recommended dosage is not more than 100mg every 12 hours or so. Similarly if you or anyone else is suffering from a liver disease then the maximum recommended dosage is not more than 50 mg twice a day. There are some facts you need to consider about thisdrug either you by tramadol online or offline. This drug comes only in tablet forms and is taken orally every 4 to 6 hours as prescribed by the doctor. Most of the times your healthcare provider would start from low dose and increase gradually as required. It is not necessary to take this drug with food as there have been no cases of upset stomach with this drug. Furthermore do not buy tramadol online because you do not know the reliability of the online sellers of this drug.