Your doctor will determine the correct dose depending on the severity of your pain and the extent to which the pain is relieved with the treatment. Always attend your scheduled doctor’s appointments so the doctor can assess you pain and the effectiveness of Tramal. Always follow your doctor’s advice about how much Tramal to take. If you miss a dose, take the dose as soon as you remember or continue with the next dose. You do not need to take an extra dose to catch up for the missed dose. Do not give Tramal to anybody else, even if they are in pain.