First and foremost: discuss with your physician whether or not Tramadol will be beneficial for you. If you are allergic to Tramadol or other medications formulated with this particular ingredient, then do inform your doctor about this, so that he or she can change the medication based on the symptoms and response to the treatment.

Tramadol 50 mg is to be taken every 4-6 hours, or directed by your physician. It may be taken with or without food, as per convenience.

If you have suffered from other disorders of pain including the arthritis, then your physician may prescribe you the long-acting opioid medications, as needed.

It has given certain B negative-withdrawal syndromes, including watering of eyes, running nose, and thoughts of suicide. So a slow downward tapering of the dosage should be entertained only after a proper talk is done with your physician to avoid withdrawal effects.

Using Tramadol 50 mg may hasten QT prolongation, especially if you have already suffered with some medical condition which triggers this disorder. It is advisable therefore to tell your doctor if you have the heart disorders including slow heartbeat, heart failure, or other heart-related issues.

If you are undergoing surgery, then you should provide the list of all pre-surgery and post-surgery medications, so your doctor may adjust the dosage of this medication based on the symptoms and response and symptoms of disorder.