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Indications and Dosage. tramadol hcl 50 mg obat apa Adult: As an adjunct to diet and exercise: Dosage is individualised based on patient's blood glucose level Initially, 1-2 mg daily, may increase in increments of 1-2 mg at intervals of 1-2 weeks according to response Maintenance: 4 mg daily Max: 6 mg or 8 mg daily