Tramadol

Tramadol can be taken by adults and children aged 12 and over.

Tramadol is not suitable for some people. Tell your doctor or pharmacist before starting the medicine if you have:

• Had an allergic reaction to tramadol or any other medicines in the past
• An illness that causes seizures
• A head injury
• An addiction to alcohol, strong painkillers or recreational drugs
• Breathing difficulties
• Kidney or liver problems
• Had a reaction to other strong painkillers in the past
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How to take it

Fast-acting tramadol comes as capsules, drops and 2 different tablets – soluble and dissolve-in-the-mouth tablets:

• capsules: swallow each capsule whole with plenty of water
• drops: mix the drops into a glass of water then drink the whole contents of the glass
• soluble tablets: dissolve each tablet in 50ml (1/2 cup) of water and drink
• dissolve-in-the-mouth tablets: make sure your hands are dry before handling the tablet. Take the tablet out of the blister pack and put it on your tongue. Suck the tablet, do not chew it. After it has melted, swallow or have a drink of water. You can also dissolve the tablet in a glass of water if you prefer.

Slow-release tramadol comes as tablets and capsules. It’s important to swallow slow-release tramadol tablets and capsules whole with a drink of water.

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When to take it

When to take it depends on the type of tramadol that you have been prescribed:

• fast-acting tablets and capsules – usually 3 to 4 times a day
• drops – usually 3 to 4 times a day
• slow-release tablets and capsules – usually 1 or 2 times a day

If you’re 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take tramadol less often.

You can take your tramadol at any time of day but try to take it at the same time every day and space your doses evenly. For example, if you take tramadol twice a day and have your first dose at 8 am, take your second dose at 8 pm.

How long does tramadol stay in your system

Because of the above-mentioned factors, there is no single definitive answer as to how long tramadol will stay in your system. However, there are averages for how long it can be detected in certain tests. Here are the averages:

• Urine: Up to 40 hours
• Saliva: Up to 24 hours
• Blood: Up to 24 Hours
• Hair: Up to 90 days

These averages can also vary depending on how much tramadol was taken and in which form (regular tablet or extended-release tablet).