Take Tramadol by mouth as prescribed. Tramadol is usually taken every 4 to 6 hours as needed. Use Tramadol exactly as prescribed. Do not increase your Tramadol dose, use Tramadol more frequently or use Tramadol for a longer period of time than prescribed because Tramadol can be habit-forming. Also, if Tramadol is used for an extended period of time, do not suddenly stop using Tramadol without your doctor’s approval. When Tramadol is used for extended periods, Tramadol may not work as well and may require different dosing. Consult your doctor if Tramadol stops working well.