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Take Ultram medication orally as directed by your doctor, typically each four to six hours as required for pain relief. you will take this drug with or while not food. If you have got nausea, it should facilitate to require this drug with food. raise your doctor or apothecary regarding alternative ways that to decrease nausea (such as lying down for one to a pair of hours with as very little head movement as possible). Ultram dose relies on your medical condition and response to treatment. to scale back your risk of facet effects, your doctor could direct you to begin this medication at an occasional dose and step by step increase your dose. Follow your doctor's directions fastidiously. the most counseled dose is four hundred milligrams per day. If you're older than seventy five years, the most counseled dose is three hundred milligrams per day. don't increase your dose, take the medication additional often, or take it for a extende