Does Tramadol Help with Opiate Withdrawals?

Yes, Tramadol can help with opiate withdrawals, especially if you used <10 bags of heroin or opium a day before detox. More on Tramadol's efficacy, what symptoms it treats and how opiate withdrawal side effects are lessened here.

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Reviewed by: Dr. Manish Mishra, MBBS

ARTICLE SUMMARY: Yes, Tramadol is effective as a detox medication. Tramadol helps reduce the severity of withdrawal symptoms in people coming off heroin and its by-products. Why are doctors excited about this potential? And can Tramadol really help manage symptoms of withdrawal from opiates like heroin? We explore here.


What does withdrawal from opiates feel like?

Opiate withdrawal feels like a really, really bad flu. Acute cases of withdrawal begin with anxiety and craving, reaching a peak between 36 and 72 hours, and decreasing substantially within 5-7 days.

Is detox painful or dangerous?

Yes, detox is uncomfortable. However, opiate withdrawal is rarely life-threatening. Still, withdrawal from these types of narcotic drugs on your own can be very hard and relapase is frequent. Instead, medical treatment during withdrawal leads to successful tapering and drug elimination, often involving medicines, counseling, and support.

Withdrawal does not need to be painful. Medical detox includes the use of prescription medications to address uncomfortable symptoms as they appear. Why suffer through detox on your own when you can benefit from professional help in a safe environment?

How long does withdrawal last?

To be honest, withdrawal duration can vary in time and intensity. In fact, there are many factors involved in the length of time you spend in withdrawal, including your:

  • age
  • dosage and amount of opiates you take
  • general health
  • length of use
  • level of dependency

In general, a typical opiate detox lasts for 10-20 days depending on the drugs in your body.  According to the WHO’s Clinical Guideline for Withdrawal Management,  short-acting drugs like heroin trigger symtpoms 8-24 hours after last use; withdrawal duration is from 4-10 days. Long-acting opioids like methadone bring on symptoms 12-48 hours after last use; withdrawal duration is from 10-20 days.

More generally, withdrawal symptoms usually begin 6-12 hours after your last dose, persist for 1-3 days (peaking at 72 hours after last dose), and gradually become less intense over the course of 5-7 days.  Still, protracted withdrawal symptoms (PAWS) may persist for a few months beyond the period of acute withdrawal.

What medicines are used during withdrawal?

The World Health Organization lists 15 medications that can be used to address symptoms of withdrawal during opiate detox. These include medicines that adress common symptos such as:

  • anxiety
  • diarrhea
  • insomnia
  • nausea
  • vomiting

Still, other medications are used to address opiate cravings and dependence. The top three medicines currently in clinical use include:

  1. Buprenorphine
  2. Methadone
  3. Naltrexone

Clinical trials are continually ongoing to identify new medicines that can help withdrawal. You can check out current research and investigate your options at the National Institute of Drug Abuse website for opiate withdrawal medications.

Why do doctors use Tramadol for detox?

  1. Low potential for abuse
  2. More efficient than other medications
  3. Less side effects than other medications

1. Tramadol is considered a low-risk pain killer

Tramadol can get you high. But compared with other medications, Tramadol seems to have low abuse potential. In fact, Tramadol is a Schedule IV analgesic painkiller medication, which means that it is viewed as a drug with minimal potential for abuse. Still, products that contain tramadol hydrochloride such as Ultracet and Ultram can be addictive.

2. Tramadol is superior for managing some withdrawal symptoms

Many medications have been used to treat opiate and opioid withdrawal symptoms in the past few decades. Aside from new methods of withdrawal such as rapid opiate detox, these medicines have been tested and are generally thought to be safe. Each has its clinical strengths and limitations.

But in clinical trials, Tramadol has been shown to (slightly) better manage opioid withdrawal syndrome. Further, doctors and researchers testing Tramadol in comparison with other medications have found that Tramadol is more efficient in controlling opioid withdrawal symptoms such as depression, irritability, anxiety and drug cravings. Other medicines currently used to treat opiate withdrawal include:

  • clonidine
  • LAAM
  • levomethadyl
  • naloxone
  • naltrexone
  • methadone
  • parenteral buprenorphine
  • propoxyphene
  • sublingual buprenorphine

3. Tramadol has less severe side effects than other medications

In addition to lower dependency potential and efficiency in controlling the uncomfortable symptoms of withdrawal, Tramadol also comes with less side effects than other medications. People who take Tramadol experience relative lack of respiratory depression and toxicity, less sweating and drowsiness than with other medications such as methadone. Furthermore, Tramadol effects psychomotor tasks involving speed, coordination, pattern recognition, and set shifting tasks less than other drugs used to treat withdrawal.

Is Tramadol effective for withdrawal?

Yes, tramadol is effective as an opiate withdrawal aid.

In a 2017, the Journal of the American Medical Association printed a study of a randomized clinical trial looking at tramadol as a viable option during detox.  Results of this trial suggest that the extended release version of tramadol is more effective than clonidine and comparable to buprenorphine in reducing opioid withdrawal symptoms during a residential tapering program. Indeed, tramadol is viewed as an effective method to manage opioid withdrawal symptoms.

Tramadol is especially useful in cases of low dosage of opium or heroin use. More specifically, tramadol compares favorably to other drugs used during detox in the management of acute withdrawal from less than 10 bags per day of heroin. If you use more than this amount, tramadol may not help you during withdrawal.

We Invite Your Questions Here

More tramadol questions? Please leave them here. We love hearing from our readers. And we will try to respond to all real life questions personally and promptly.

Reference sources: Efficacy of Tramadol Extended-Release for Opioid Withdrawal: A Randomized Clinical Trial.
NIDA Director’s report summary 2011
Tramadol versus buprenorphine for the management of acute heroin withdrawal: a retrospective matched cohort controlled study
Tramadol versus methadone for the management of acute opioid withdrawal: an add-on study
Opioid Antagonists, Partial Agonists, and Agonists/Antagonists: The Role of Office- Based Detoxification
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.
Medical Reviewers
Dr. Manish Mishra, MBBS serves as the Chief Medical Officer of the Texas Healt...

All of the information on this page has been reviewed and verified by a licensed medical professional.


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  1. @Scott I believe that a bag is usually 0.1g so ten bags is 1g on average in my experience. What they’re saying is that a small heroin habit is classed as less than 1g a day and if your habit is much bigger the tramadol probably won’t help too much. However in my experience, the amount of opiate needed to avoid withdrawal is much less than you’d think and a lot less than what you need to get high.

    In this regard I think it’s will worth a try. You can do it!

  2. When you say “withdrawal from less than 10 bags per day of heroin” how much heroin is in the bags? Grams would be a much better unit of measurement, since almost all street drugs are bought and sold in grams. You could mean a grocery bag or a tiny ziploc bag we don’t know.

  3. I had hip surgery and I have diarrhea. After the 5th day of 1mg of hydromorphone and 2 tylenol 4 hours. I stopped taking both. I want to take tremadol. How soon can I start the tremadol.

  4. Tramadol withdrawal is hell and it is worst than vicodine withdrawal. There’s no way around going through withdrawal.


  6. I take 4 to 5 lortab a day and have for about 8 months would tramadal work for me to help with withdraws

  7. The 3rd night of withdrawing of heroin is normally the worst for me,we will see how much use tramadol is for opiate withdrawal.last night was the usual for me,monkey kicking in.i took a handful of tramadol and defo felt a bit wonder drug but I will be doing the same thing tonight

  8. Can someone please give me some advice, I have been a opiate user for 36 year’s I came of meth 5 year’s ago and went on subtex, I am now down to taking 2, -4 tablets a day which isn’t even a gram, I have grandchildren and I want to enjoy life without taking thus shit,because I’m on such a low dose could I start using tramodol as I’ve heard w ds go on for age’s with subtex, I just wanna be free from the nightmare and be happy

  9. I was on Percocet for nearly 20 years for various ailments, mostly, well guess all wer for Fibromyalgia, knees ( which both need replaced ), feet, had surgery on one, need surgery on other as well. Started with Percoset 10/650, which was good for managing my pain, few years back they lowered the dose to 10/325, I know you’re still getting 10mg of oxycodone, but it never worked the same. I always ran out before time to get refill. I told my Dr. to no availe. I’ve never had a problem with anything of my medications, I was on quite a few too. Never took a pill one until my son was killed in car wreck, I’ve not been the same, never will be. So I called my Dr. needed refills I was told they no longer would see me and I needed to find another DR. I was in shock! In January, I had put some ZZQuill in the bag I have my meds in, cause I wanted it upstairs if I woke up, I could just drink a dose of that. The whole bottle leaked into the bag, somehow it seeped into my Percocet, Soma, managed to save Xanax, elevil, neurotin, can’t even think of all right now. I called my Dr. Told the nurse what happened, 3 days later, she called back and said they wouldn’t give me any early. I had about 1 1/2 weeks before I could see them. Meantime I got a few hydro from a friend to help me till I could get mine. Supposedly I signed a paper saying I wouldn’t take anything that wasn’t prescribed to me by them. Which I probably did, don’t remember, it was more of a friend relationship I thought we had. And all my meds need new refills on them, couldn’t even get them filled. That was cut and dry! So in Feb. I went in for a visit, they wanted a urine specimen, I didn’t have a problem doing that. So in March, this month was when they told me they would no longer see me. I’ve been told some of the meds should never be stopped cold turkey, well that was just what they did. I live in a fairly small town, what Dr.s we do have aren’t taking new patients. I don’t know, I somehow felt betrayed. About 5 days later, I called to see if they would prescribe me suboxone for WD been 3 days ago, haven’t heard a word. I am so miserable!

  10. Oxycodone I’m too afraid to try,I have an addictive personality but yes u have to taper. It helped me soon much.instead of listening to us it gives all needed information from symptoms of withdrawals which I went through advice and information

  11. What helped with my skin crawling feeling and more was a hot bath with Epsom salts.and trust me it took everything for me to have the energy to do it.Its not easy but do we want to live like this anymore?i had a script I took more than the sixty so then I was out begging and paying for them then these idiots see your desperate and want sexual favors? Unh uh no way,

    If u don’t say you took tramadol which is non narcotic in MI my doctor said it shows a trace of heroin or morphine I forget but when I had to have a blood test to get on Norcos the doctor sent it somewhere else to rule out street drugs which I knew I was safe!

  12. i have just detoxed off of Norcos after having taken them for five years I’ve been taking three in the morning two after I eat and then another two in evening after four tries of detoxing having a hard time being so sick I finally did it I went through three days of being totally sick. on day 3 I started also taking tramadol to help ease the withdraws but in the back of my mind I still struggle wanting a Norcos for its euphoric feeling it gives so u have to really want to detox and know u shouldn’t take it for very long either maybe a couple weeks then I’ll wean off tramadol! I’m on day 7 no is still a mind set.

  13. I was taking Tridural 300 mg for about a year for lumbar spinal stenosis. When I turned 65 and my insurance changed, found out they wouldn’t cover the $120.00 per month cost. Without consulting my doctor I stopped taking it cold turkey. Only noticeable side effect was severe depression. I couldn’t figure out why, suddenly, my mood was so low, then decided to restart Tramadol and within a few days depression lifted. Now I’ve cut back to 200 mg and have difficulty staying asleep. Am weaning off this mood altering drug.

  14. I am a 30 year old female that has been addicted to painkillers. Hydrocodone being the love of my life for almost 7+ years. I quit for a little over a year and had a relapse. This has lasted the past 3 years almost. The withdraws then are nothing like what I am experiencing now. I just made 24 hours without anything and I’m ready to lose my mind. I took 2 50mg tramadol and I’m starting to feel better. Not 100% better but the pains in my arms, and pin like feeling in my body had decreased so much. I only have enough tramadol to make it about 3 days. Any advice on how to deal with any lingering pain.? I am off work this week for the holidays and this is my only chance to get serious about getting clean. Any advice would be appreciated.

  15. I’m going to share with you the best thing and the miracle pill to never ever have a withdrawal symptom from opiates, im almost one week clean with ZERO withdrawals!!!!!!! Klonopin. …… that’s it. If you can get some you will be opiate free in no time i promise! I will stop them tmro and see if they have a withdrawal, but i bet it isn’t anything like kicking opiates cold turkey! Tried that 4 times in 6 yrs!

  16. I am planning to stop Oxycodone, 80mg a day. My doctor wants me to get a neurostimular for chronic thoracic back pain. Today I got a script for 240mg. This is my last because I often take 9 a day and end up a few days short.

    Appears that despite best evidence out there many doctors are true believers in the wonders of modern medicine. If I did a slow taper would the withdrawals be very bad? I am 61 and in good health. Planned to go 6 a day, 5 a day etc and do it over 6 weeks. Had a spell where I ran out for 5 days and it was hell. I went from a nice guy to raving savage. Insight appreciated.

  17. I take approximately an average of 4 mg of subutex per day and was wondering if that’s a low enough dose that tramadol would stop withdrawal symptoms and help me off them.Thank You.

    1. Hi, Jay. I believe you might talk with your doctor to help you make an individualized tapering plan only for you. In this way, you might ease some of the withdrawal symptoms. Good luck!

  18. Hello, i have been taking methadone going on ten years now…I used to race dirtbikes and got into a eeally bad accident, in return I was given as many laracets i could take…..I have never done a drug in my life until my accident…..while i was being trated for pain my doctor just up and had a hard attack, of course this leaving me in bad shape because the Dr ended up passing away… I am taking 10 – 10 mg lauratabs or lauracets 4 times a day….a bottle of 120 would last me 3 days at most….i diddnt realized what addiction really was until i diddnt have any pain killers one morning when I woke up….I checked myself into a rehab because i refused to spend 3k a month on pain meds….i went through the detox program but I shorrly realized that my back was severely hurting me… choice was to get surgery and take a chance or get a steong pain killer that isn’t going to eat my liver apart….again listing to a Dr. I chose to get on methadone, mainly because i work on drilling rigs, and there is nothing worse on your back then tripping pipe all day with a jacked back….surgery was in the forecast, but it had to be done at the right time, also back surgery’s are not always effective, so i felt like it just wasnt a gamble i could make at the time….My Dr diddnt tell me how addicting methadone was, he just kept saying it has a long shelf life and it is a synthetic opiot, so its not hard on your organs, I was sold…..8 years and 130mg a day latter i got put in jail for a misdemeanor, actually it was probably because of my smart ass mourh…..2 weeks went buy and the withdraw was unbearable but I really didn’t have an option, I was in jail!!!!! The County jail system is like this, WE DONT GIVE A SHIT IF YOU DIE IN THERE….finnaly after 3 weeks ibstopped vomiting out of both ends, but still felt like death…..I tried my hardest to stay commited to my sobriety…… 11 months past and i was methadone free, but definitely not happy, in fact i felt horrible….finally i got sick of hurting and got back on methadone…. I decided that I no longer want anything to control my life…..i have detoxed 130 mg of methadone to 56 mg of methadone in just 4 months…..I want to bury it but im getting nurvous because im afraid that things are about to get real….there are people that go to methadone clinics for one milligram, personally, i dont get that….how many millgrams do i have to be on in order for saboxone to take effect???the clinic will tell u one thing, but i dont trus them……clinics are businesses just like anything else….naturally they dont want u to leave because that is 385 a month they will be losing….I have given this my all….methadone can be effective if ubget on a deug treatment plan, otherwise you are just prolonging the inevitable, except withdraw symptoms are worsw than pain killers heroin or any other type of opiate and detoxing takes three times longer……unless u want to be a slave to this drug, stay away.. I couldn’t be any more serious I am right now…..what would you recommend and what milligram of methadone do i need to be at in order for it to work….if anyone is on methadone and think they cant survive without it should trust me when i say if i can do it u can to, just make your mind up and do it….go down 5 mg a week until u feel like u cant go down anymore….then go down 2 mg a week…. I honestly thought i would never be able to do this, but its not as hard as u think, but I have yet to complete my quest, so we will see…would suboxine work or whay do u think, remember my back is in severe pain, but i cant afford to be out of work t for surgery at this time

  19. Hi jade . I am also doin my ripp , sounds like you’re nearly sorted if you just feel rough . If it’s been a week or so from your last dose of methadone just hang in a little longer and you wil be back to Normal, if your only a few days in and still proper hangin I would suggest to keep having a wat you’re lowest dose was for another week then stop. Other than that get subutex only have them for a week tho because you will end up hangin off them also. Hope everything goes well and jus keep strong YOU CAN DO IT

  20. I’m doing my rattle cut dwn frum 20ml to 15ml to 10ml to 2.5ml in last 3weeks now nt taking any but feel rough what shud I do I’m taking gabapentin not prescribed

  21. They don’t tell you only few people have the liver enzyme that makes tramadol produce opiate like effects. I can take 2 50mg tramadol and I feel like I shot up a bag of dope but my buddy takes them and gets sick and has had seizures. I can imagine it working especially for me but some people I think it would be bad

  22. I have been on tramadol for many years , for various injuries and a Syrinx in my spine , and now with fentanyl patch . was at 25 Mcg . now I’m weening down on the fent. patch from 25 Mcg @48 hrs to 12.5 or 1/2 patch @ 60 hrs , tramadol is better than norco . 10/325 but still too addictive , at 58 yrs old now these pain meds are a “VISCOUS CYCLE ” DONT FOOL YOUR SELVES !..I hate being dependent on them …and am looking for alternatives “neurostimulator ” boston scientific .
    these pain mgm . specialists are in as bad a spot as the patients are ..”DAMMED EITHER WAY ” !

  23. I have a question. I took my last dose of perc sunday, Today is friday. Ive been taking 200mg of tramadol the last 4 days and 150mg today. Will this get me past the bad parts of W/D or will it start again once i stop taking the tramadol? I know about the PAWS, as this is not my 1st time W/D and trying to get clean.

  24. Tramadol completely gets rid of opiate withdrawal 100%. You don’t need anything with it, and it is easy to wean yourself off of. It is also really cheap, I got 400 for 24.00

    1. Hi Lance. I’m glad you could do it. But, tramadol is not as easy to get off off for many other opiate users. In fact, there is a real risk of cross-addiction if treatment is not carefully managed.

  25. I have a 90 the script of 50mg tramodol I’m trying to kick herion- I am down to about 6 bags a day, will this help- along with flex aril and alcohol? I have never kicked herion before this is my first time and I’m scared! I have the 90 trams 4 bags and 30 muscle relaxers! What is the most painless way to get thru this? S any help wood be great! I don’t want to live like this anymore!

  26. I have a question, I am currently only on 10 to 15mg of methadone down from 65mg, I’ve done well but it’d killing me, it really is, now I got down 5mg a week which is super fast for a methadone titration schedule, I feel like death some days and I don’t have the option to lie in bed all day, I have 2 kids who depend on me, I kind of Want to try tramadol when I’m out of methadone finally and see if it can help, but from what i understand, tramadol can make w/d or deplete your dose, is that only in higher doses of methadone bc I have taken one when I’ve felt really bad and it didn’t make my w/d any worse than I was to begin with, does anyone have any exp or I put for this? Any help would be greatly appreciated

  27. I’m begging for help with my addiction but can’t afford it.I’m 48yrs single mom of 3sons.I hate my life like this.I want my life back…

    1. Hello Tina. There are options available to those with low income. You can start your search by using SAMHSA’s addiction facilities locator and select your state, type of treatment you need, and choose payment options. Also, Alcoholics Anonymous and Narcotic Anonymous can offer low cost or no-cost support, as well as churches. The important thing is to not give up and stay motivated. And, what better motivation than watching 3 gorgeous men growing up happy with you.

  28. hai,I am taking poppy husk from 4 years,I wats to leave this adiction,I have 20 tablets methadone 100mg each,at present I am taking 3 tablets a day,question is when i reduce methadone then ihave to face withdrawl problems,last 3 days i am clean please help me.

  29. I had been taking tridural for two days now because of ba bad toothache, but last night I waz taking 2 100mg every 4 hours it was really working for the painbut I also had insomnia and no sleep at all but when I got up at 4am to get ready for work I took the usual dose of 2 tridural tabs and started my day but then my tummy was in so much pain, I had to hug myself to help ease the pain but then ivommitted and felt groggy like I had a hangover ( I do not drink) and have been tired all day, now I am scared too take any tridural at all because of all the pilld I tookbfore! What do I do?

  30. hello, have been on vicodin 7.5 then narco. the doctors in mich are making,, honest people feel like your a felon! doc says YOU Must! sign a paper stating you must attend a pain managment class, then pee in a cup. the doctor was my friend I thought. said you can ocasinally smoke pot. helps me sleep. not no more,55 years old. a drunk driver, hit me head on in 87 lost my son. shattered femur, artifical left hip. right leg is a inch or so short. left wrist shattered. I still cope with everyday life. but 2 to 3 pills a I ama addict? cannot live my life while having to worry about getting my meds. the doctors are making appts without my approval ! I am having a hard time trying to find a new doctor, here. most do not pescibe pain meds anymore? doctor release me cause i did not no about a appointent, as my house was being handicapped assesable. many people I know are getting there meds, and drinking & smoking, I just do not understand the goverment.I would love to know. Is there a doctor left in mich that would treat me! never been in trouble. I think ohio is sueing for this? any body out there could help me, instead of treating me like a criminal? thankyou.

  31. going in, i knew trams r addictive as well, so i was very nervous and refused to take them in excess, but one or two every 12 hours has been THE BEST combatant against HEROIN withdrawal i have ever found. the heroin wd i experienced lasted for 3 weeks. obviously u should know that one tram per day will probably get u hooked on tramadol so USE THEM WISELY and SPARINGLY but THEY do help you get through the worst parts of cold turkey heroin/suboxone withdrawal..

  32. I am coming off Methadone, Opana, Roxys, and Fentanyl, and I felt like DEATH earlier and I took 6 50mg tabs of Tramadol and I feel ALOT better. WDs are nearly gone completely!

  33. I.ll be brief , Tramadol works! IT got me off oxycontin yrs ago, and now I’m using it to get off a 4 yr addiction to heroin. If it’s chewed it works w/in 20mins, if not it could take 2 hrs for the full effect. I am heroin free for 36hrs now w/o wd because of 6-50mg trams in the morning and 4-50mg late afternoon. it’s better than the alternitive, I do feel slight sweats and chills but nothing that can’t be handled, IT WORKS!!!!!!!!

  34. my docter just gave me these things and im praying they help uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkkkkkkkkkkkkkkkkkkkkkkkkkkkyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyjjjjjjjjjjjjjjjjjjjjjjj

  35. How about using just a few tramdol, I have half dozen 50mg to supplement opana, 30mg bid for about a week till my opana script is refilled?

  36. Will it help with my leg pains during heroin withdrawal? That is the only thing that convinces me to break. I will run out of heroin tonight and hoping the trams will help me. How many should I take? I weigh almost 200 lbs and I really don’t want to relapse again. Somebody please responD ASAP. I would hate to take too few and have it not work or take too many and have a supposed seizure.

  37. If taking methadone for example low dose for only 2 weeks or a bit more and want to get off without using Methadone as a taper-Tramadol 50mgs up to 300-400 daily, PRN.
    Another option-Tylenol #4 . Will help with last piece of getting off low dosages of strong opiates from short and long acting ones.
    Clonidine-depending on severity of withdrawals, anywhere from .01-.05(this medication you must be monitored closely if you have fairly low blood pressure or even normal. However, when one WD’s, there BP goes up. clonidine decreases BP, decreasing indirectly physical symptoms(RLS, aches, and pain, headaches, as well as lowering stress levels) *Good herb to take in combo with this is Passionflower.The tea or extract with clonidine seems to have a synergistic effect and helps decrease psychological cravings for drug getting off of. Interesting but worked for some.
    If you can get this from a doctor who is integrated in his approach or maybe doctor that isn’t but very knowledgeable with atypical approaches, baclofen 10mg(start off slow and use for only few days) titrate in two days up to 10mgs if needed 3x daily. Help with decrease of physical pains(aches, spasms) even to a degree anxiety. Gaba B agonist, so not cross tolerant with benzodiazepines. Using benzodiazepines like Diazepam, clonazepam of the longer acting ones. Shorter acting Xanax or lorazepam are good for immediate need to decrease aggressiveness, anger. It depends again on individual but all of these types of benzodiazepines have their own unique special properties that work for some better than others.
    herbal teas to use-Skullcap for sedation, and muscle pain

  38. I was on a high dose for two years, The first few days, i was taking 20 pills a day of tramadol, i was not sick at all, it worked great.

  39. Hello Harlie. See a physician for a dosing schedule for the tramadol during withdrawal and to set up a tapering schedule for the Norco. You need professional advice and medical assistance before attempting to withdraw from Norco in an outpatient setting.

  40. I was just reading these posts. I’m about to get off of Norco 10 mg. I take 5 to 6 a day and have been for months. I am gonna try taking the Tramadol to aid in withdrawal. I’m gathering I should take roughly 250 mg a few times a day?

    1. Tramadol worked get for opiate wd. I will say that it can be abused and can become addictive physically and psychologically. Just be careful and disciplined w it as you taper and you will be fine. ….You can beat this opiate addiction!! Don’t give up and don’t believe you can’t live wo them. Best of luck to all.

      1. V Steel:

        Thanks for your reply. I started with 250 mg three times a day for two days and went down to 150 mg three times a day for two days. 50 mg three times a day for two days, and then as needed for three days…leaving one in the morning for the following three days. Worked like a charm. I should also note that I take requip nightly for RLS.

        This experience was really good. I am now Norco free! ();

  41. Tramadol has less severe side effects than other medications. I disagree with this statement form the above article. From my experience Tramadol will take away the hydro or oxy codone withdrawl. But you have to take at least 200 fo 300mgs to accomplish that. Another withdrawl symtom that was not mentioned above was bizzare and surrealistic dreams or nightmares.

  42. Yes, Tramadol will definitely help with withdrawal. As long as you only ue it for about 5 to 10 days, you shouldn’t have withdrawals from it and by then, the Methadone withdrawals will have subsided. Now, I say Methadone because thats what I was on. Im on day 4 and would normally be in a some seriously bad shape. I took just 2 Tramadol 50mgs and smoked a little bud and good grief there hasnt been any kind of withdrawal whatsoever. It’s kind of a strange feeling to take something so weak and it completely stops withdrawals This is just for me, it may not work for eveyone. I havent had any symptoms except my stomach constantly hurts for some reason. Everytime I try to eat it starts hurting worse. However, all of other symptoms are absent.

  43. yeah, i get 150 50mg trams a month. i do shoot heroin. in the past, i would use heroin as much as possible and feel like i was dying when withdrawal set in. now, i wont use h no more than 3 days in a row and whenever i start to exp any wthdrwal, i take 4 trams at a time about evry 8 hrs for 3 to 4 days. i dont withdraw at all as long as i hav the trams. so, yes, they do help with opiate detox

  44. Hi Steven. Thanks for sharing your experience about how tramadol helped you during opiate withdrawal. I hope that your experience can help others looking to do the same!

  45. have used tramadol to kick a 4 yr. opiate addiction…started with 2 pills twice on 1st and 2nd day (max dosage without risk of seizures) on 3rd and 4th day 2 pills a day, 5th day 1 pill and then went to half a pill for a couple more days. it was amazing compared to cold turkey withdrawals…no cramps, no RLS (witch makes me nuts), some insomnia, and some diarrhea witch you can control with imodium. I do feel kind of ‘funny’ when taking the heavy 400ml dose…but I would not describe it as being high, or even as a plea sent feeling. there was no temptation to continue the tramadol beyond what it took to kick the opiates!

  46. I have been addicted to opiate medications for years. I have been thinking of going to a methadone clinic, but ours is 13.50 per day, an hour away, so figure an extra 15-20 day for gas. I use tramadol when im out of my scripts, and it does ease the withdrawals. It will upset your stomach though, I advise eating even a piece of bread before taking them. Also, if ur taking tramadol to prevent withdrawal, the 50mg tablets, the normal person will usually take 3-4 at a time, and i normally dont go over 8 a day. I have had alot of addictions in my life, but opiate addiction is the worst thing that ever happened to me. Never in my life have i ever had to endure anything that caused so much nausea, chills, sweating, body pain, as i have withdrawaling from opiates.

  47. Methadone clinics are not free or covered by state or any insurance in most States. In va I pay 336 dollars for 4 7day weeks of methadone. Its 12 dollars a day. Expensive. I make 696 dollars a month disability and cant get another dime and I have cf and chronic pancreatitis. I can not afford my rent and will eventually lose it all but have no choice.

  48. Hello unknow. This is a difficult question to answer. The right pain medication for any individual will be based on pain tolerance, medical history, and current condition. Although you can build tolerance to Tramadol, many people claim that is it much more mild during withdrawal and easy to get off. Who is helping manage pain at the moment? And have you consulted the American Pain Society or the American Academy of Pain Management? These might be good places to start when looking for your alternatives.

  49. so im confused is tramadol a good resource or isnt it for opiate or opioid dependencey to introduce myslef early last year i was diagnosed with gallbladder disease and i was put on pain killers percocet to be specific and they put me on them on a daily basis for 11 months till i was finally able to have surgery after surgery my body was immuned to the pain killers now im buying them and going to the er just to have enough to feel normal not to get high but to feel like a normal human being and i have searched high and low and all these doctors want to do is put u on another pill that is just as addictive so im trying to find a solution to weine my self off this crap so if anyone has any good advice i would be so greatful

  50. I don’t know where you got them bud, they are around 5$ for 30 in KS, also not scheduled here as they are in some states. Perhaps that makes a difference.

  51. I must say that TRAMADOL is the most expensive pain medication i have used. So much money and truly i do not feel pain free when i am taking it.I just got 60 tabs for $65.00!!! Christina, Jenn sounds right in her plan with the clinic, and awakenedheart is just out to lunch…(sorry).

  52. Christina this may sound strange but if I understood u correctly u need the methadon for ur back pain but cant afford it. If this is so I would go to a methadone clinic like herion addicts do. Although u r not a drug addict u r addicted to it if u have been on it for 8 years. So then u could go on the methadone program also most insurances even state insurances cover it and its not to expencive if u dont have ins. Im sure u wouldnt fit in at a clinic and its probaly not something u would want to do, but it may b a way to continue ur current treatment. Honestly theres not any other medication that is cheap that is going to b strong enough to replace the methadone. If u have any questions u think I could help u with. good luck

  53. Dear Sister, I usually don’t write on these, but am compelled to share some of my personal experience with opiates. For many years, I was addicted to tramadol as well as other opiates off and on . . . but consistently to tramadol. I can tell you my experience and that of other people I knew taking tramadol, tramadol withdrawals is unequivocally harder to withdrawal from than shorter acting opiates. There are anti-depressant properties in tramadol and the drug itself is a synthetic opiate, made from the scrap of thrown-out codeine. It has a longer half life, making withdrawal longer and much more painful. It also may cause seizures. Should you need an opiate to assist coming off of methadone, ask your doctor for a shorter acting opiate like vicodin or plain codeine. Your lower back is probably in pain partially due to coming off of opiates that you have been on a long time. Methadone as you know is long acting and extremely hard to be free of. But, many people have succeeded and so can you! Perhaps find a group acupuncture clinic where you can pay $15 for acupuncture. Scream, cry, grieve, and feel all the suppressed emotions that have been locked up – especially anger is held in the back as well as fear. Another alternative to being free of methadone and opiates altogether is ibogaine. It may be expensive, but worth looking into. Whatever you choose, do so without feeling any regret and know you are doing your very best. You are surrounded by love and are a powerful being!

  54. I have been on methadone for pain management for about 8 yrs. I have recently lost my job, and my husband is supporting all of us(me and 3 kids). I can no longer afford to pay for my prescription and have started detoxing rapidly from 60mg. I am now at 40mg and am VERY ill. Would Tramadol be of any benefit for my withdrawals and my lower back? The only other drug they will offer me is Fentynal..I can’t afford that either. The docs in NC are very strange.

  55. what about the withdrawal symptoms that tramadol is know to cause, how will doctors prevent it?

    Maybe with low dosage I guess, but people will still abuse tramadol.

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