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Buying Tramadol online without a prescription is possible, but it is not recommended. Tramadol is a controlled substance, and it is illegal to buy or sell it without a prescription. Moreover, it is not safe to take any medication without consulting with a doctor.

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Tramadol can be expensive, but several online pharmacies offer free delivery of Tramadol in the USA. This makes it easy for people to get the pain relief they need without having to leave their homes. However, it is important to make sure that the online pharmacy is legitimate and that they are selling genuine Tramadol.

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For those who need Tramadol urgently, there are online pharmacies that offer overnight delivery of Tramadol in the USA. This is a great option for those who need pain relief immediately and cannot wait for regular shipping.

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Tramadol is typically started at a low dose and gradually increased until pain is under control. Dosage should be individualized based on pain severity, therapy response, prior treatment experience and risk factors of addiction, abuse and misuse.

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-For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days

Maximum dose: 400 mg per day.

Extended-Release (ER):

18 years or older (tramadol-naive): 100 mg orally once a day

-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions

-Maximum Dose: 300 mg/day

Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day

Conversion from other Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy

-Initial dose: 100 mg ER orally once a day

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-Maximum Dose: 300 mg/day.

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