If you are taking tramadol, it is important to keep to a regular schedule so that the medicine spreads throughout the body evenly and you don't wind up with too much or too little.

If you do slip up and miss a dose, take it as soon as you remember, provided it is not almost time for the next dose. If your next dose is imminent, just skip the missing dose and take the next one. Usually one missed dose will not cause a major problem, and it is likelier that taking two doses at once will have a detrimental effect.

If you miss more than one dose in a row, you may begin to suffer from withdrawal symptoms like perspiration, nausea, anxiety and seizures. These are to be avoided if at all possible, so make sure that you pay attention to your dosing schedule and take your pills on time.