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Because Tramadol comes in a variety of dosages, medical professionals can customize the drug to meet the needs of each patient based on their medical history and the intensity of their pain. Doses that are available: Tramadol Combination Formulations: For better pain relief, tramadol is occasionally taken with other drugs, such as acetaminophen (Tylenol). The dosages of these combination medications are 37.5 mg of Tramadol and 325 mg of acetaminophen per pill. Tramadol in Other Forms: For patients with certain requirements or preferences, tramadol may also be offered in the form of capsules or drops. The dose strength of these formulas may differ based on the manufacturer and the product. How to Choose the Right Dosage: Severity of pain: For mild to moderate pain, low dosages may be sufficient, but patients with more severe or chronic pain will often require higher doses. 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