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The mean terminal plasma elimination half-lives of racemic tramadol and racemic M1 are 6.3Â±1.4 and 7.4Â±1.4 hours, respectively. The plasma elimination half-life of racemic tramadol increased from approximately six hours to seven hours upon multiple dosing.
Tramadol levels in the blood peak 2 hours after taking a 100 mg oral dose. In clinical studies, the onset of pain relief was faster with a combination formula of tramadol hydrochloride and acetaminophen (brand name Ultracet) than Tramadol alone. Onset of analgesia (pain relief) occurred in less than one hour. However, it takes 2 days to reach steady-state concentrations of Tramadol in the blood at a dosing rate of four times per day. As stated before Tramadol works differently for every person.