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According to the prescribing information, the recommended Ultram dose for initiation of therapy should be 25 mg per day in the morning and titrated in increments of 25 mg as separate doses every three days until a dose of 100 mg per day (25 mg four times daily) is achieved. If necessary, the daily dose may then be titrated up, based on patient tolerability, by 50 mg every three days until a dose of 200 mg per day (50 mg four times daily) is achieved.
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