Elimination Tramadol is removed mainly by means of metabolism from the liver and the metabolites are eliminated mainly via the kidneys. The indicate (%CV) apparent whole clearance of tramadol soon after one 100 mg oral dose is 8. QT prolongation/torsade de pointes: Scenarios of QT prolongation and/or torsade de pointes https://henryz197cjr5.wikitidings.com/user