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Q: Is it safe to take tramadol every 6 hours for extended period of time? A: Tramadol (Ultram) is classified as a opioid analgesic. Tramadol is approved for the treatment of moderate to moderately severe pain. According to medical references, the recommended dosing for the immediate release formulation of tramadol is 50 to 100 mg every four to six hours with a maximum of 400 mg per day. Tramadol, like any medication has possible side effects, risks and warnings associated with it use.
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