There are many online pharmacies that sell fake medicines including Tramadol. The fake pills looks exactly like the real thing but contains different ingredients.There are a number of pharmacies from where Tramadol can be brought without showing a prescription. Despite of the easy availability of Tramadol, one has to be sure about the reliability and reputation on online pharmacy. Tramadol online apotheke offers tramadol in three strengths.The drug is available in immediate and extended release form. It is also available in various dosages such as 50mg, 100mg, 200mg and 300mg that has to be administered orally. After ingestion, drug reacts slowly and sometimes it may take up to six hours to relieve pain completely. Tramadol is available at all pharmacy retailers and Tramadol online apotheke. The doctor assesses the condition of patient by taking in to account of their medical history, allergies, symptoms and clinical history. Based on this information, doctor takes the call for prescribing Tramadol or not.Tramadol 50mg can be taken every day once in the morning as directed by the physician. Depending on the body response to the treatment, the physician can increase or decrease the dosage from time to time. The maximum dosage should not exceed 300mg to 400mg per day.