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.