Tuesday October 21st 2014

How to withdraw from tramadol

Tramadol is a synthetic opiate agonist. Like many other opiate medications, tramadol is habit forming and your body can develop a physical dependency on tramadol. This is why when you are physically dependent on tramadol and quit taking tramadol, you go through withdrawal. However, doctor’s procedures are in place for tramadol withdrawal symptoms treatment help you withdrawal from tramadol with minimal discomfort caused by acute symptoms.

What are some ways to withdrawal from tramadol? Can you withdrawal from tramadol at home? And what are the most troublesome symptoms of withdrawal? Here, we answer these questions and more. If you would like to know more about tramadol withdrawal please leave your questions or comments at the end.

When do you withdraw from tramadol?

You can trigger tramadol withdrawal anytime you’ve been taking tramadol daily for more than a few weeks and miss a dose. But generally, you will withdrawal from tramadol when you stop taking tramadol purposely after your body has developed a physical dependency to tramadol. When you stop taking, tramadol the body tries to regulate normal function. This built-in mechanism to seek homeostasis and adapt to the chemical lack of tramadol is why experience withdrawal symptoms from tramadol after chronic use.

How long to withdraw from tramadol?

How long does it take to withdrawal from tramadol? It depends on the individual person. For some, withdrawal can be short and for others long. In general, withdrawal starts a few short hours after your last dose of tramadol has worn off. The first 72 hours are always the hardest, with the acute symptoms of tramadol withdrawal evening out after this time. However, it can take several days to weeks before all symptoms of withdrawal are no longer present. In some cases, rebound symptoms may occur. That is, symptoms of withdrawal can recur with the same intensity after the initial acute phase of withdrawal has passed. Psychological aspects of withdrawal can also be present long after tramadol has been removed from the body system.

Can I withdraw from tramadol at home?

It’s always best to work with a doctor to help monitor withdrawal symptoms, especially if you have used tramadol in high doses for long periods of time. And sometimes the use and abuse of tramadol may be so extensive you may need the help of a facility to withdraw and detox from tramadol. However, it is possible that you withdraw from tramadol on your own. But just because the nature of tramadol is less habit-forming and addictive than other opioid drugs, does not mean that tramadol withdrawal is safe. Still, you can generally cope with withdrawal symptoms at home.

Finally, be on the lookout for symptoms of serotonin syndrome: agitation and depression or any unusual changes in your behavior when you use tramadol indicate a real medical problem. You can address these symptoms with the help of a physician.

Withdraw from tramadol symptoms

Tramadol is a complicated drug because there are over 50 reported symptoms associated with withdrawal, including atypical symptoms. Still, tramadol effects everyone on an individual basis. As with other opiates and opioids, you can expect to feel like you’ve come down with common flu like symptoms which normally accompany tramadol withdrawal. Other symptoms of tramadol might include:

  • agitation
  • chills
  • convulsions
  • dizziness
  • muscle pain
  • nervousness
  • panic attach
  • sleep disturbances
  • sweating

How to ease withdrawal symptoms from tramadol

You can ease the symptoms of withdrawal from tramadol first by treating yourself as if you’re sick. Stay home and make sure you can get a lot of rest. Use heating pads to help with aches and pain. Treat the flu-like symptoms with lots of fluids and a bland diet so your body can detox and heal while you’re going through withdrawal. Also there are procedures such as tapering tramadol doses before detoxing which your doctor can recommend to help ease withdrawal symptoms. You may also need a temporary prescription for an anti-depressant which can help address serotonin syndrome, if present.

How to withdraw from tramadol safely

To withdraw from tramadol safely, doctors always recommend a medically supervised detox. This can be on an outpatient or inpatient basis. But in general, it is important to know your body and what will work best for you. For example, if you are addicted to tramadol, the safest way to withdrawal involves medical supervision and psycho-emotional support. If you are treating chronic pain and are trying to withdraw from tramadol, talk with your doctor to discuss alternative medications so you do not have to deal with both the pain of a condition and the discomfort of withdrawal at the same time. It is also important to support your body while you are withdrawing. Talk with your local pharmacist for tips on how to treat the symptoms of tramadol withdrawal using over-the-counter medications. Finally, give your body the rest that it needs to recover fully.

The best way to withdraw from tramadol

One of the best ways to treat tramadol withdrawal is to taper tramadol use over time. The way this works is that you first discuss your use of tramadol with your prescribing doctor. They should have an idea of the level of dependence your body has developed over time given dose amount and frequency. Opioids like tramadol have a general tapering method to slowly get it out of your body. This safe way to taper includes a 10% reduction in dosage every week and then a 20% reduction every 3 to 5 days. It is not advised that you decrease tramadol doses in increments of 50% at any given time.

How to deal with withdrawal from tramadol questions

Withdrawal can be frustrating and complicated. Do you still have question about tramadol withdrawal? Please ask any questions you may have and we will get back to you personally and promptly.

Reference Sources: NCBI: Serotonin syndrome associated with tramadol
PubMed Health: tramadol
FDA: Ultram
NCBI: Effects of repeated tramadol and morphine administration on psychomotor and cognitive performance in opioid-dependent volunteers

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28 Responses to “How to withdraw from tramadol
popeye
11:06 pm January 1st, 2013

Hi you all

I want to quit Tramadol using Bali Kratom capsules. I’m not sure how to do it.

Can I simply replace part of the dosage with Kratom ?

Thanks for all the advice.

Claudia Basola
1:11 am March 5th, 2013

This is the best site yet on line. You gave a good formula for withdrawing slowly. But one question that was not answered was…using the formula, does it help with withdrawal symptoms and length of withdrawal? I am not an addict…RX came from a bad occipital fusion:(

2:20 pm March 11th, 2013

Hi Claudia. Please do not try to withdraw from tramadol at home on your own. The idea is to get a feel for the schedule and then consult your prescribing doctor for a personalized calendar. Your needs will be different than someone else’s and are based on a number of factors. In general, tapering increases total duration of tramadol withdrawal. But it also decreases the severity and intensity of symptoms.

Ak
10:46 pm April 1st, 2013

we all know that all organic nutrients are so important and we use it often where we are sick, so my question is simple there are some symptoms in the withdraw period such as sleep disturbance it’s so true and also that u can feel a freakin pain at the end of ur back while ur not able to sleep, so is there any kind of fruits or vegetables can be taken to help the body while recovering, at least help u to sleep normal without following a hypnotic prescription

2:31 pm April 3rd, 2013

Hello Ak. I’d suggest that you consult a pharmacist for over-the-counter natural sleep aid help. Personally, I have great results using melatonin. But if you’re experiencing breakthrough pain, this may not help. You can also seek the advice of a licensed nutritionist.

Rodney
5:44 pm September 26th, 2013

I have been taking Tramadol 100mg a day at bedtime for several years, for foot pain. The only other time of day I have taken it was when I was told to take it after a back surgery. It was for a bout three days then right back to 100 mg at bedtime. I really have noticed any of the side effects people talk about except some drowsiness in the morning but I take so many other meds, for high blood pressure and bllod thinner for the stents i had put in several years ago, that any of those could cause some drowsiness also. I have been trying to rid myself of un-needed drugs and Tramadol is my biggest concern. I want to try stopping it to see if the foot pain in still there as bad as it was or if I can do without the med. With this kind of usage what would you reccomend as far as getting off it. I have actually been off the med for a couple of days, several times and do not remember ianything out of the ordinary but just want to be careful. I am 54. 6foot 195 and in pretty good shape. BP controlled and a recent heart catherization and stress test shows all is well in the heart. I am fighting some GERD and am in my third week of Nexium at 40mg twice a day. I tolerate must meds well but just want to get off of as much as I can .

S Brown
3:59 pm September 29th, 2013

Have been taking one 50mg tablet per day for several weeks and two per day several weeks before that following a hip operation. Please advise how to stop. the tramadol. Many thanks

1:34 pm October 2nd, 2013

Hello S. You’ll need to consult with your prescribing doctor to create a tapering calendar specific to you and your needs. Otherwise, speak with your pharmacist about the general guidelines for opioid taper, which are about 25% decrease per week.

Bill Webster
8:31 pm November 11th, 2013

It is not possible to experience Seratonin Syndrome during withdrawal. The only time you’re going to get that is taking high doses and mostly when mixed with antidepressant and a bunch of other drugs. The same goes for seizures. I can’t find any information about tramadol withdrawal causing seizures.

12:46 pm November 14th, 2013

Thanks for pointing this out, Bill. We’ve done fact checking and found that seizures and Serotonin Syndrome are related to high, chronic dosing of tramadol rather than withdrawal. Thanks for your help!

More references: http://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020281s032s033lbl.pdf
http://www.ncbi.nlm.nih.gov/pubmed/22983066

Yousif
5:03 am December 23rd, 2013

Hi dear Sir im taking tramadol100mg from 3 years. I want stop it but i cant. Please tell me some thing to stop this. When i dnt take it 1day my body fill like its broke i cant sleep. Please help me

11:01 am December 23rd, 2013

Hello Yousif. Insomnia can be symptom of tramadol withdrawal. Have you tried tapering down your dose before totally eliminating tramadol from your system? This can go a long way to minimizing the severity of symptoms of withdrawal.

mary
4:59 pm April 29th, 2014

My Pain management Doctor just told me that Suboxen is not to be used for withdrawal from Tramadol. My friend’s Dr. used it for he for Tramadol, and wants to use it on me for my fentanyl patch 25mcg, but my Pain management Dr says No way. It is only for addicts, not prescribed dependent patients. Which is true?

12:46 pm April 30th, 2014

Hello Mary. Suboxone (buprenorphine) is mainly used for opiate and opioid addicts, yes. Addiction is characterized by compulsion and cravings, even in the face of negative life consequences of drug use.

jake
1:14 pm June 29th, 2014

I take 200 to 300mgs a day. Then I run out and stop taking it for 2 to 3 weeks until my next prescription. I am sick for 3 or 4 days. It is hard to go to work sick. What do you suggest.

Ivana @ Addiction Blog
11:37 am June 30th, 2014

Hello Jake. If you are in pain and need tramadol for pain management, you can talk to your doctor and let him know you are in need of higher doses. However, I suppose you are prescribed a lower dose of the drug, since you’re running out so quickly, in which case, I’d suggest you take the medication as prescribed. You can start by slowly lowering the dosage, so you won’t run out, and you won’t have to go through withdrawal.

Tina
9:06 pm July 14th, 2014

Hello I have been taking tramadol 50mg every other day for the past 2 months and have recently stopped cold turkey! I can’t sleep at night and my legs always feel funny. I took a norco last night just so I could sleep a little and be at ease. What do I do to get rid of this anxiety feeling and this tingle feeling in my legs? Its been 6 days since I took a tramadol what do u suggest?

robby
1:05 am July 17th, 2014

Hello,
I have been taking tramadol since prescribed by my osteopath originally over 20 years ago. At the time he said it was not habit forming. I also found it did a great job for relieving head and neck pain without apparent negative side effects. Unfortunately I’ve now trapped myself into taking between 400-600 mg/day, as it’s easily available on the internet. It took a long time to recognize my addiction. Stupid, right? I’d never even used marijuana. Anyway, It’s expensive and I tried to quit once a few years back, and tapered off over a couple weeks. When I finally ran out, I was so sick and miserable for a month – I couldn’t get out of bed or go to work. It never got better even after WEEKS. I finally had to start taking it again, just to feel normal. How am I ever going to be able to quit? I don’t even have a doctor or insurance, and just heard tramadol is no longer going to be available online because of new regs. All I can think is that my body will shut down. I’m completely panicking. I can’t face feeling that horrible again, and then the psychological withdrawal too? Menopause is bad enough. I don’t know how to handle this, and will not burden my family with this humiliating problem.

Jacqueline
3:03 pm August 5th, 2014

I just started withdrawal from tramadol 5 days ago. I was taking 1– 50mg in the AM and one in the PM. I started by cutting out 1/2 in the PM and had withdrawal symptoms the next morning. It is mild now. How long should I wait before cutting the AM dose in 1/2? And how long should I wait before cutting the other 1/2′s off to complete the withdrawal? .

Ivana @ Addiction Blog
9:10 am August 6th, 2014

Hi Jacqueline. It’s hard to say when exactly you shold cut the current dose in half. You can talk to a pharmacist or a doctor for advise because every individuals needs are different and the tapering schedule varys. You can have a look at this article which explains more details around tapering from tramadol and withdrawal:
http://www.choosehelp.com/topics/detox/ultram-detox-tramadol-withdrawal-pains.html

Hector
10:30 pm September 4th, 2014

I’m in the same boat as you, Mrs. Robby. I was blind-sided by the new regs. I would take 4 pills in the morning and 4 more towards the late afternoon. Helped me get my work done, that’s for sure. When I found out last week that I could get no more on-line, I freaked out. I’ve got a herniated disc so I called my doctor today to let him know my back was really starting to hurt, hoping I could wriggle out a scrip for me, since I bought them all online. Instead he’s going to give me a ESI injection on Tuesday (steroid.) I’m sure it will help my back, but I’d rather just have a scrip.

Trama dull
8:21 am September 10th, 2014

I’m one of the sad cases that got up to 30-40 50mg pills a day. I did this for three years or so. It started with treatment for back pain. I finally decided to come off of it. Luckily I had no seizures. I did a rapid taper and used some Bali kratom which really helped. I also had an occasional klonopin and gabapentin which I discontinued after I was done with the withdrawals. I’m not sure how I got to that point, I just kind of got grabbed by tramadol and never thought I would take that much. Oh well, I’m alive and tramadol free.

Melanie
4:17 am September 13th, 2014

Hi. I have taken up to 30 trams a day for the last 21 years. I am just starting to taper. My first day my dr has me on a quick taper 30%reduction every 5 days. Am hoping for the best. It’s nice to know I’m not alone. I don’t know how this happened. Good luck to everyone

Robby
2:39 pm September 13th, 2014

Good luck with the taper. Even slowly tapering I immediately felt effects of terrible anxiety and depression. I haven’t tried gabapentin and never heard of bali kratom before but am willing to try almost anything as I’m finding myself increasing the dose again out of desperation and feelings of suicide. I have found an international online source but I’m not sure if it’s a life saver or will kill me in the end? All I know is I only feel normal and able to function when taking tramadol.

Trama dull
10:49 am September 15th, 2014

Robby, trust me. You CAN stop! The kratom takes care of most of the withdrawal. Check out kratom online. It really helps with the depression part(paws), and I swear it helps with serotonin regulation. See if your doc will give you lyrica or gabapentin. It’s a pain reliever and also a good mood elevator. Don’t be scared, I was able to do it and feel way better now. I felt sick all the time while I was on tramadol. I’m totally off of it and feel way better. Good luck, i know how the fear feels, but you can beat it!

Ruth
11:19 am September 20th, 2014

I have stopped taking Tramadol and am on day 37. I am still getting horrendous withdrawals and can’t cope any longer. I want to die and feel so depressed and very angry. I can’t get out of bed and am having terrible sweet/chocolate binges. I can function and also have just separated from my husband so I have emotional issues (as I have to still live in the house together) all I can see is hopelessness and dark, evil, doom. I am considering going back on Tramadol until I get a divorce, sell the house, and go back to work to support myself, then go through withdrawal at a later date! I don’t know what to do or who to turn too. My Doctors are useless!!! Please help x

Robby
12:03 pm September 22nd, 2014

Ruth, td is correct (so far as I can tell).
I have just started trying out kratom this week, and it is amazing stuff and also legal! (thanks, tramadull!) Since trying it, I have again began tapering off this horrible addicting painkiller. kratom provides analgesic relief as well as somehow combats the worst symptoms of depression and anxiety as you begin withdrawal. Many sites offer kratom in different strains. You will have to try out to see what works best for you. Please investigate. I have a LONG way to go to to rid myself of this drug but at least I feel there may be hope – for the first time. Hang in there. We know what you’re going through, even if the docs can’t help you.

Robert jr
10:15 pm September 29th, 2014

What medication should I ask my doc about to help me kick the tramadol?

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