quijibored replied: "Maximum dosage of tramadol (Ultram) is 400mg daily which is eight 50mg tablets or two tablets every six hours. This is a big dose of tramadol and not a starting dosage for this medication. The danger of high doses and overdosage with tramadol is not usually damage to your liver but the increased potential for seizures. If the type tramadol you are taking also includes Tylenol, then liver damage is also possible with high doses.
"
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