1 The vast majority of people will never have an anaphylactic reaction. 2  The most common causes of anaphylaxis include drugs, such as penicillin, insect stings, foods (peanuts, shellfish), X-ray dye, and latex. 3  The symptoms of anaphylaxis may vary and can include hives, tongue swelling, vomiting, and even shock.
The recommended starting dose for prolonged-release venlafaxine is 75 mg given once daily. Patients not responding to the initial 75 mg/day dose may benefit from dose increases up to a maximum dose of 375 mg/day. Dosage increases can be made at intervals of 2 weeks or more.
50 mg of tramadol is contained in each regular pill or non-extended release pill. The maximum pharmaceutical dose that can be taken daily of regular tramadol is 400 mg (two 50 mg pills 4x a day). The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum. But a word of caution, this stuff can be very addictive for some people, even at low doses. Your body's become use to it, that's why you have the pain when you try to cut back.