How long does Tramadol stay in your system?

Tramadol doesn’t stay in your system very long – a day or two for most users. However, some techniques, particularly hair testing, can reveal past Tramadol use. More on Tramadol detection here.

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Reviewed by: Dr. Dili Gonzalez, M.D.

Tramadol will show up on some drug tests, but doesn’t stay in your system long-term.

In fact, Tramadol shows up on drug screens and is detected in tramadol-specific blood and urine screens only 2-4 days after use. However, hair testing can show past Tramadol use, even when it is no longer in your system. Keep reading for information on Tramadol testing, abuse, and resources. And we welcome your questions about Tramadol screening or use at the end.

Main Tramadol uses

Classified as an opiate agonist, Tramadol changes the way the body senses pain to help provide relief. Tramadol is used to relieve moderate to moderately severe pain. Tramadol can also be used to help with neuropathic pain (pain caused by the damage to peripheral nerves). The extended release version of Tramadol is used to treat moderate, chronic pain.

How do you take Tramadol?

Tramadol is taken in the form of a tablet, as needed. Tramadol is also available in an extended-release formula, which is only prescribed to people who need to be able to take the medication around-the-clock. When abused, the pain medication might be crushed and snorted. Tramadol can also be dissolved in water and then injected. Either of these methods, however, can cause serious side effects or death.

Peak levels and half life of Tramadol

When does Tramadol kick in?  In an hour or less. Tramadol hits its peak blood plasma level an hour and a half after the drug is taken. It has a half life of 6 hours.

Tramadol drug testing: How long does tramadol stay in the body?

Like many similar medications, Tramadol does not stay in the body long. Hair samples will reveal drug use further in the past than blood or urine screens, which are only reliable for a day or two.  So drug testing for Tramadol can be ordered in blood, urine or hair samples.

How long does Tramadol stay in blood?

After more than a couple of days, it’s unlikely that Tramadol will be detected in the blood. This detection window for Tramadol in blood samples is a little longer for the extended-release version than for the regular variety of the drug.

How long does Tramadol stay in hair?

Most drugs can be detected far longer in hair than they can be in urine or blood. Hair samples may be able to test positive for Tramadol weeks or months after exposure to the drug. But the Tramadol detection period in hair sample drug tests depends on a few different factors, including hair length, dosage, and the person’s metabolism.

How long does Tramadol stay in urine?

Tramadol will show up on urine screens for 2-4 days after use. However, Tramadol may show up a for a few days after last dose with heavy or chronic use. But in most cases, if someone hasn’t taken the drug within 48 hours, the levels are undetectable.

Tramadol: long term use and addiction

Tramadol is an addictive medication with serious side effects when taken long term.  Not only can Tramadol create a physical dependence with long term use, Tramadol  causes seizures even when taken in prescribed amounts over a long period of time.  Furthermore,  suddenly stopping Tramadol will cause withdrawal symptoms which can range from minor and unpleasant to serious.

Problems with Tramadol?

If you think that you might have a problem with Tramadol, you probably do. But there is help for narcotics addicts. A local doctor or clinic should be able to direct you to resources and help you deal with possible Tramadol addiction. Addiction specialists use a medical or therapeutic approach, or a combination of the two. There might be support groups in your area, like Narcotics Anonymous, that can help you through the process of quitting Tramadol.

Tramadol in your system questions

Do you still have questions about Tramadol in your system? Please leave your questions here. We will be happy to try to answer them ASAP personally!

Reference sources: PubMed Health: Tramadol
Virginia DMME: Drug Free Workplace drug testing protocol
Wisconsin Crime Laboratory System: Toxicology
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. Dili Gonzalez, M.D. is a general surgeon practicing women's focused medici...

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


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  1. I took 50mg of Tramadol last Monday and am starting Celexa tomorrow morning. Is tramadol still in my system? I’m afraid of serotonin syndrome.

  2. I have slip dic and pick nerve but I don’t want to be this any more how get off of it and what can do to feel better. Have restlessness in legs since stop won’t let sleep in 2 days

  3. I took one 50mg Tramadol on Thursday. I will likely have a lab drug test on Tuesday for a diversion program. I’ve only taken one Tramadol ever in my life. That was Thursday. I’m petrified it will show up. Any advice or will it show up?

  4. I’VE BEEN TAKING TRAMADOL & IBUPROFEN FOR SEVERE PAIN. i had cervical surgery 6 months ago. This combination helped me 100%. This morning i woke up with stomach pain, which i never had before !! I see one of side effects are “stomach pain” What can I do ? Hopefully you can help me !!! Thank you

  5. Hello. My mother 87 had two falls and was in a lot pain on the side of her ribs. I took her to the hospital where they kept her and did some tests.She hadn’t broken anything,but the pain was and is severe. THEY GAVE HER Zaldiar intravenus for the two day to help with the pain. After we came home and continued the ZALDIAR for two days. However I noticed my mom could hardly walk very weak and slow motion movements, slurred speaking like she was heavily drugged. I stopped it now two days,but these symptoms continue with my mom. She was fine before we went to the hospital apart from the pain. What has happened to her? are the effects of Zaldiar still in her system or isit something else?

  6. I did self medication for headache and took tramadol. Im habing rashes and itcjiness allnover my body. What would be the best home remedy? Im taking anti histamine but it’s not helping. Thank you

  7. Doctor has me on 300 mg of Tramadol. Now he has started me on the Butrans patch 10 micrograms, however I had to wait for my medicine a couple of days I started the Tramadol 300 to relieve me of my pain until the Butrans patch came through. Now I have the Butrans patch but I haven’t taken it my last dose ran out 10 hours ago is it safe to start the 10 microgram patch after 12 hours?

  8. Ok so I took 6 tramadol 2days ago and might have to take a urine screen monday and the screens at my probation office can detect tramadol if I have to go in on Monday day do you think I would test positive ? And how long do you think it will show in a urine screen?

  9. If i have been taking tramadol 50mg 4x a day for 5 days and was switched to oxycodone 10/325 will i have an interaction

  10. Took tramadol 100 mg and feeling not so well,had nausea and vomited the day I took it and still feeling body weakness and little nauseated today .

  11. I am taking Tramadol for sciatica and am beginning to wonder if they have any effect on ones confidence. I have been taking them for over a year and find my confidence is at rock bottom in that I am scared to go anywhere new and spend most of my time housebound. Prior to taking them I had loads of confidence and nothing seemed to scare me.

  12. I had tramadol (100 mg) tablets intake for 4-5 times with 3 tablets each time and alcohol consumption few times…my medical for Canada immigration is after two months…will it be detectable in the test…plz give me satisfactory answer bcoz I have read numerous statement but not satisfied

  13. I have been taken oxicodone for Long time because of my chest pain. Every time I go to hospital they always prescribed. Because I afraid that I might be addicted I would rather to fight the disease by not taking the drugs. I have tried for several days with out taking the refills. But, one night I severely felt the pain. I don’t have my refill with me. But, o found tremadol at home and take it because of pain I felt. Unfortunately, something happen in the office and want me to take the drug test. I am waiting the results. I feel like I might be positive for tremadol. I just did it once. Will it have a legal consequence?? Will it affect my upcoming employment and study in Colorado? I can’t wait to hear what is gonna happen??? Please advise me what to do if it is found positive?? For the other drugs i don’t have a problem as I had a prescription?? Is my career will be endanger??

  14. I am using injection of tramadol since last 6 months l. It was using by me for body pain and I was feeling cured but now it is nt working anymore during pain. I want to quite it bcz m feeling foot swelling and weight gain. Plz suggest if I will stop it will it loose that weight and cure swelling.

  15. If I took Tramadol for the first time this morning and then had a surprise pain management urine test, will it be detected? I took it at 8am and the test was at noon.

  16. hello.i am from iran and i used tramadol for 8 month and now exactally i stoped it 18 day compelely and 2 days later i have opeum test(morphine test).my question is this:tramadol banished and dissappear from me?how percent my test will be negetive?
    thank you and i am sorry hf h english is not best,,,thanks

    1. Hi Lynn. Tramadol is a prescription drug used to manage mild to moderate pain. Tramadol works by altering the way that pain is perceived in the brain. Because tramadol can sometimes cause feelings of euphoria, and tramadol dependence time occurs within 3-4 weeks of use, tramadol is only available and used legally with a prescription from a medical doctor.

      If you have a prescription for Tramadol, it shouldn’t be a problem if it shows up on a drug test. If you test positive and you’re using Tramadol illegally, there will likely be repercussions. The exact legal status of Tramadol depends on where you live, so if you’re concerned about it showing up on a drug test, find out what your local laws are. Tramadol is detectable in urine for 2 (two) days after your last use. But the detection period is also influenced by other factors, such as how long you were using tramadol, whether of not you have a history of drug abuse, your age, body mass and weight.

  17. With regular (chronic use) at an estimated daily dosage of 1200-2000 mg tramadol per day would the tramadol still be present in urinalysis completed by a professional lab 6 days later?

  18. I have been taking 25mg of tramadol (50mg cut in half) every morning for approx. a year. Can I stop taking it suddenly without any ill effects? Also, how long before it will no longer show up in my system in a blood test?

  19. My message is on sat I took one tramadol-acetaminphn 37.5-325 then on Tuesday I had a surprise urine test for my job I was wondering if it would show up in my urine and they send the urine to be tested I don’t take it all the time that day I wa in a lot of pain so I took one pill I have a prescription for it but my job has a no drug and alcohol policy no matter if u have a script for any pain meds I can’t afford to lose my job for I’m the sole provider my wife is disable and cannot work

  20. I took tramadol last 72 hours.
    But I have not been able to sleep at all.
    What should I do natural ways to get some sleep?
    How does it take dissolve on my body?

  21. I took 3 Tramadol Friday night around 9pm I go to my pain doctor on Monday at 11am will the 3 Tramadol show up in my drug test it’s a urine test

  22. Please I have been taking tramadol 225 mg tablets on daily basis for about a 2 months and I’ll be undergoing a drug test in two to three days…what can I do …thanks

  23. Hello,
    Today is my 2nd day off tram. Just a little ache in my legs now. But I am extremely tired. I forced myself to walk a mile and now I am so tired.
    Little depression going on. Is this normal w/d’s. How much longer do I have to wait to get back to normal?

  24. i was in hospital with light stroke and got tramadol every 4 hours.for one week.
    after a light stroke i got tramadol every 4 hours in hospital for 7 days.after coming home i took just one pill at bedtime for 3 days then i stopped it because of nauseating stomach ,i cold not eat for a few days . now after 10 days i still get nauea feeling but i start eating a bit again. what food should i eat or avoid to get better appetiet and no more nausea feelings ?>please advice me in that thank you Fred

  25. I was given Tramadol by a doctor by accident for 4 days. I have had some side effects with breathing but need to know if i have not taken anymore, will the side effects go away?

  26. I took a 120mg × 2 pills on Saturday, I couldn’t get the effect, tho I wanted it for sex, the second day, I took 120mg × 4 pills. Tho I wasn’t aware how high it is. Now its affect my eyes, I couldn’t use the phone at night, stomach disorder. It’s been 2 days now yet i still couldn’t use the phone at night.

  27. I’ve taken tramadol for 30 days at 50 mg per day only. Stopped a week and half ago. Will I have withdrawal symptoms? I don’t feel like I became dependent. Also I’m starting lexapro tomorrow will there be any interaction?

  28. I have been using tramadol for 8 yrs 50 mg. went to a 100 couple months ago , but than taken off of it . The only thing I I really experienced ” no engery” tramadol gave me a lot of engery . Feeling bad . Been off 16 days should I still feel this way .

  29. I don’t take tramadol, but this morning a co worker gave me one for back pain. About 6 hours later I was drug tested. Will it show up with me taking only one pill?

    1. Hi Rsexton72. Tramadol does not stay in the body long. Drug testing for Tramadol can be ordered in blood, urine or hair samples. But if your drug test is in 6 hours after you took the pill then your drug test will turn out positive.

  30. Hi Adel, I have been on Tramadol for 5 years (for herniated discs in back) I have been on 200mg 100mg and 50mg & I have tried stopping the 50mg on 3 occasions – currently I am trying a different way after discussing it with a very helpful pharmacist. From my experience, I would be almost certain that you are experiencing short term withdrawals between each capsule. The 50mg are fast acting (unlike the 100mg and 200mg) so they work for between 4 to 8 hrs max and then you feel the withdrawal symptoms until a while after taking the next one. Had to cut heaps of my comments off as came up as “Spammy”?

  31. I have reduced my tramadol intake from 200mg a day to 50 mg a day been lile that for almost six months. In the meantime I cant sleep at night and i stay a wake all night doc says its the effects of the tramadol. But after six months
    Is that possible

  32. I used to take tramadol everyday 225mg for a month and I am doing drug test after tomorrow and I stop taking it for 9 days will it appear on urine test?

  33. I have a very old script for tramadol from when I threw my back out. I only used it when ABSOLUTELY necessary so I had several tablets left. I recently unloaded a bunch of product off an 18-Wheeler and aggravated my low back again. So over the last week I’ve taken 3-50 mg tramadols. I got a call today for a hair follicle test. I didn’t think about my script being expired, but now I’m concerned about failing the test. What is the likelihood that it will show so soon and in such small quantity

  34. I have been taken tramadol for 15 years i have stoped taken it for about 5 munth how long it will take me to be clean from tramadol.

  35. When they talked about levels with Tramadol what do they mean I take 400 milligrams a Tramadol a day so what level should I be at and how they know

  36. I had a reaction to tramadol itching and burning skin and upset stomach the last time I took it was about 48 hours ago still have a little stomach problem is this normal

  37. Hi! I’ve been on Tramadol for 5 plus years. I did start abusing it for years. I took 5 (50 mg) a day. Then went down to 4, then 3 within the last year. I’ve now been cut off of them going on my 3rd day. I’m sick of sweating and the withdrawals are hell. Thank God I’m not having the cravings anymore. I want to be normal and I’m scared to go to work tomorrow. The sweating and flu like symptoms are killing me. I just feel horrible non stop.

    How much longer is this going to take?

    Thank you.

  38. My husband was taking tramadol 300mg xr once daily and had a seizure. Doctors say his blood was over 1,000ng. Is this close to therapuetic level , is it enough to physically impair him? and is it possible this drug built up in his system and caused a toxic effect?

  39. i been taking tramadol for a year ..i have a pee test coming i been drinking water for a week off n on .. do u think its still in my system shold i drink more water befor monday the 27th

  40. I was just prescribed this drug for pain after having shoulder surgery. I took my first pill this morning and then decided it might be advantageous to see what is in this drug and what possible side effects it might cause. WELL…I will NOT be taking another dose for sure. I cannot believe how many BAD BAD BAD side effects it can cause. People be aware!! Not a good drug in my opinion…and should not even be on the market . My prescription is going to be flushed down my toilet right now!!!

  41. I am going to have to take a medical test, blood and urine, for life insurance. I am wondering if tramadol will show up in the tests and what would it show up as? Thanks

  42. I would like to stop taking tramadol/acet 37.5/325mg

    How do I cut back? I take 5 a day, morning, noon, supper, night and middle of night

    Thanks a bunch

  43. I took 100mg of tramadol on Saturday night but now I have a pre employment drug test on Wednesday morning would it still show up on there or no ???

  44. I haven’t had a tramadol since 8:00pm on February 19, 2017, Do you think the worst is over or do I have a long horrible road ahead of me? I’ve already had cold sweats, headache, insomnia and restless leg syndrome!

  45. Hey this is Omar, I’m 20 years old now. I was 17 when i first took this red pill (tramadol) 225, it wasn’t perscribted for me & i just took it for fun. After long term use 2 and a half pill stopped effecting me and it just got me more depressed, yeah i said it was fun at first but after 2 years all it did is which got me depressed, meanwhile at the same time i couldn’t do literally anything unless i take at least 1 & half. Suddenly, i decided to change where i live to stop it, i couldn’t sleep for 5 days even with taking panadol night i just couldn’t sleep at all. It’s been 3-4 months since i last took it and I’m okay now i don’t need it but i always need something in return (xanax or revotril) which are also not perscribted for me. I still can continue my day without taking them but everything has changed inside me, i got thinner but that doesn’t matter i go to gym 3-4 times a week. The problem is I don’t feel like I am who i am, i sometimes feel like im bipolar but that doesn’t matter with me , all what matters is that i feel like I dont know myself anymore. As an explanation, i was so unsocial at first i tried fighting this back and be social but sometimes it makes me feel so down because people doesn’t accept me as who i am, they know nothing about me i just try being social. but no one ever keeps talking to me daily (maximum 4 days) & i feel like they get bored. Yeah people say i look attractive at first AND which is only at first, but after it everything changes i always have high hopes for nothing while talking to people which makes them push me away. Moreover, I just can’t control my personal feelings i just open fast but never tell that i was a drug addict, no one ever stays the same with me as all people do together , i never get along with groups, and if i do then im that person with a weak personality who doesn’t know what talk. This weak personality while being with people (not talking or not opening up subjects) gets me depressed because before in past this pill made me feel strong,attractive,sociable&fun. I’m over with the withdrawal things which are (back pain,no sleep, leg hurt) but i just want to know what’s making me feel like that, it completly changed my personality to another person which no one could get along with. I really did stop and i mean it & its bren 4 month but why am i not normal like before, i did stop why am i not back to the real me ? In addition, i get bored from everything fast and sometimes i can’t concentrate when someone is talking to me & one last thing sometimes i completly forget what happened and take time to remember. How can i change myself? I tried going out a lot , meet people , workout , eat healthy. But at the end ‘it still did change me and me myself don’t accept who am i, i lie to show others i’m not the person who I’ve been hiding from.

  46. Hey I’ve taking 200mg of tramadol along with 900mg of lyrica (pregabalin) I’m due to take a drug test (saliva not urine) in two weeks will these drugs be out of my system in time also can you please tell me me the difference between saliva tests and urine tests. Thank you

  47. Hello ,my husband is taking tramadol for more than two years now since he had the accident. I want to be pregnant but I’m scared because I don’t know if that tramadol will have any effect during my pregnancy for the baby.please let me know if it safe to start a baby, and if not, when we can ? thank you

  48. how long should it take to get tramadol out of my system. i have taken for several years and told to stop taking at once. having some serious issues with side effects

  49. I took 2 /50 MG. Tramadol (prescribed for a canine) on Thursday night before bed, Monday at 3 pm had a saliva drug test . Not a regular user, will it show up on the test?

  50. Can Tramadol stay in someone body for two weeks? I’m asking this cause my children’s father had surgery on the 28 of Oct. and was given this med for pain; he was given 10 of these pills he took till Nov. 1. He is on probation and failed his test on the 9th of Nov. and pissed positive for opiates. Can this med stay in body for that long. By the way he is 5ft 10 in and weight is 155. He has been fighting his drink and drugs for over 2 years and has been clean on all piss test until now. Please let me know if it can stay in the body for that long cause I can’t him back on drugs and be around our kids. Thank you God bless you all

  51. hi , i am taking this Tramadol 2-3 year ago in daily base starting i m taking 2-3 tablet daily after few months i m taking daily 1 packets , bt nw the days i cant b able to eat food properly and i loss my weight around 30 kg , and still i dont like eat food any many problem are there plz help me ..

  52. I have a severe headache and tooth ache with nothing else to take. I have to go see my p.o next week. If I take one to two tramadol will it be out of my system by Tuesday.thats five days give or take a day?

  53. I have been taking Tramadol for about two months,three times a day for severe back pain. About finding e days ago I began to have reduced hearing in my right ear and a ringing noise. I have stopped taking Tramadol and in agony with my back pain due to the problem. I think this could be one of the side effects of the drug. Please could you help me with any information, many thank.

  54. I took one tramadol 50mg yesterday around 10pm. I hadna drug screening today at 11am. Will the tramadol be detected on the screening. I don’t take them regularly.

  55. I took one tramadol 50mg yesterday at 10pm. I don’t take them on a regular basis. I had a drug screen (urine) test today at 11am. Do you think it was detected on the screening

  56. After taking Tramadol, how long will it take before it shows up in a urine test?

    Like for instance. A person takes two 50mg and has a urine test 2 hours later. Will the results come back positive?

  57. I took tramadol on Sunday morning and everyday four days prior three a day 100mg will I pass a urin test the following Friday?

  58. I have had a prescription for Tramadol for 6-7 years for chronic arthritis pain as a result of surgeries. I do not always take it as directed depending on my pain level. Sometimes more sometimes less.
    After a routine blood test at my family doctor they told me I did not have a high enough concentration of the drug in my system and has refused to ever refill this script. What recourse do I have to prove I am not giving away or selling the Tramadol which I certainly am not.

  59. I have a script for Tramadol. I’ve had 2 urine screens recently. I told them I was prescribed Tramadol, and they said they don’t even test for it. But I wouldn’t take before a screen if I wasn’t prescribed it, just to be safe…cause you never know. Saliva doesn’t go back far at all, but I still wouldn’t take any 2 days before, just to be safe. But like I said in my other reply, they didn’t even test for it.

  60. Good husband took Tramadol capsules twice yesterday.last 2 last night at 20:00nprescribed for severe backpain due to nerve enpingement.he is itching al over his body,never slept last long will this last?thank you for information.

  61. I am a chronic pain patient and was drug tested, it came back completely clean. The doctor is uncertain why that it, because I am on tramadol twice a day, for the past few years. He said he specifically tested for it. What could have caused this false negative?

  62. i use have consistently used tramadol to enhance sex and sleep avoidance (100mg-600mg daily) for four years but i want to quit. please what do i do. a reply to my email will do. thanks a mill.

  63. I have been taking tramadol to addicted to it now…what can i do to stop it…i badly need help pls..u just cant do without it

    1. Hi Alice. I suggest you speak with your doctor to help you plan an individualized tapering schedule. Also, you may call the number you see on the website to speak with a trusted treatment consultant.

  64. If I received a shot by injection of tramadol for pain….I believe it was 50 mg…howlong could I experience side affects from that shot injection?

  65. I have been taking tramadol for 2 years now. I’m quitting but need to know how long it stays in your system after your last dose.

  66. I have a drug test for probation tomorrow. I took 3 50mg of tramadol last night will it show up in my drug test for probation?

  67. I had lidocaine injection 5 mg in my back will it come out positive for a drug test I dont do any thing else. It been 13 days I just had a urine test done worried cause people say stupid stuff Please help.

  68. I recently took one 50mg Tramadol tablet for the first time , on Friday. To relieve some back pain. Would I pass a Urine test at work on the Monday. Many Thanks for the help

  69. I took 1 50mg tramadol Friday around 5:00 for my back pain I don’t usually take anything at all that’s the 1st pill besides over the counter med I have takin in a long time so when should the tramadol be completely out of my system I am asking cause I go to court on Monday & I’m not sure if they will drug test me or not

  70. I have been taking 200mg of Tramadol for about a year for back and feet pain. I am having a drug test next week and I would rather it didn’t show up. What is the best way to avoid it showing up besides not taking it? It would be hard getting through a day without it.
    Thank you

  71. can tramadol in large dosages (3-500 mg a day) and trazadone 150 mg a day be detected after stopping the usuage of tramadol, two weeks prior to a urine drug test

  72. I have had trammadol 50mg.from months back when I was on them.I have taken 2on Saturday and 2on Sunday.Will they show up on my urine test on the 23rd of May if if I have to take a couple more?

  73. Do you or anyone on this blog have knowledge or experience of “post acute withdrawal syndrome after a long – term tramadol use? was on for 23 years and decided to set up at about six months ago.

    Initial withdrawal symptoms have disappeared now, still have intermittent runny nose dry, dry cough, and generally feeling kind of crappy. Wonder if this has anything to do with long-term withdrawal from tramadol?

  74. Since tramadol isn’t a opiate or opioid Why is it considered a narcotic. It seems like when I was given it some 30yrs. ago it wasn’t considered a narcotic.

  75. I took 1/2 tramadol which would be 25 mg. a couple hrs later I got soooo nauseated. It’s been 2 days and I still feel bad. Never took anymore. Could it be from tramadol or could I have a bug?

  76. If I take only 4 tramadol on a Monday how long before I can pass a urine test? I also take 5 Norco’s per day when not taking tramadol.

  77. It scares me to take this drug but I was taking OXI’s and I couldn’t think straight so I asked for something less and the doctor gave me Tramadol which works and a have no ill affects! I am worried taking them long term but this Shingles that I have just won’t go away. Is there something else that can help me. Naproxen does absolutely nothing to reduce the pain.

  78. Back in February around the 20th I took tramadol 50mg one a day for four days I have to take a 12 panel hair test April 5 will it show up

  79. I have been taking 100mg tramodol for , sadly, addiction. I’ve been taking 6 to 8 tablets a day. 4 when I wake up and one here and there throughout the day. I am quitting today. Pretty much cold turkey. Is there anything I can do to help with the withdrawal I am fixing to go through. I’m 250 pounds, and have a pretty fast metabolism. I have been taking these for almost 5 weeks now.

  80. I have been taking tramadol for a few yrs now with pm. But havin my drug tests with pain managements are not comming out well, they are showing im not taking them I take all perscribed meds as told as stated to .what could be issue. None of my meds doc said are problem. I hate feeling as im a liar ,when im taking all meds .I have nerve damage .plz help if tou have any ideas. Thank you.

  81. Doctor switched me to Tramadol in 2010 when Darvocet was outlawed for my chronic pain. Over six years eventually got up to max safe dosage of 400mg daily. Six weeks ago told my Dr it didn’t work anymore and he prescribed hydrocodone acetaminophen 10-325. Decided I shouldn’t be taking both so stopped Tramadol but had to go back on. Dropped from 400mg to 200 mg daily, then to 100mg, then to 50mg. Serious insominia so my doctor prescribed Ambien and said I needed to take weeks to wean myself off. Revised my schedule to go back to 100mg and drop 12.5mg weekly. Was down to 87.5mg daily this week but the daily symptons are a pain so just said the heck with it and stopped taking any 30 hours ago. Have a couple of symptons but as long as I can sleep I can handle it. How many days will it take for the symptons to stop? I’m not taking the hydrocodone acetaminophen 10-325 either as I’m sure that is just as bad. Since I have cut back and now quit taking anything my chronic pain has gone away.

  82. I took a circle red tramadol Friday an I have to take a drug test Monday will it still be in my system?? Please help

  83. Foolishly took two pills for pain due to cracked ribs. Did not realize that this is an opiate drug. Will this amount of pills show up on a hair follicle test to be taken in roughly two weeks. Worried and upset with myself.Forgot to mention 50mg per pill

  84. Guys I’ve been on tramadol for 16 month and this is my 3rd day for of stopping it I dropped down from 200mg a day to half a 100mg for my back pain and I have a drug taste next week here in Dubai for a job would it show if I went on 10 days detox plan as running and sauna and drinking loads of water and working out daily ?! Would be really thankful for any respond that helps with how long it stays in the urine

  85. If I took 15 tramadol (50mg) in 4 days, (last use was a saturday evening) would it show up in a drugscreen that my probation officer had sent off to the lab? The test was taken the following Thursday. Not quite 5 days later

  86. If I take one Tramadol pill at 9 p.m., will it affect me at 6 a.m. the next morning when I have to drive to and for work? I am a school bus driver. I have a prescription for Tramadol 50.

  87. Hi, A family member passed away in an accident and her accidental death insurance was denied because she had 1.11 mg/l of tramadol in the femoral blood. She was prescribed tramadol and had been taking it long term. The autopsy stated that this is a sufficient amount for impairment but not lethal. The insurance company says because of this statement the prescription was being misused. I was wondering if a person has been on this medication long term if it would have a high build up in their system?

  88. I’m trying to ween off tramadol,I last took only 1 ,24 hours ago,I can feel my body is getting a little twitchy,and I feel really tense and tight,and restlessness,I’m really trying not to touch anymore,and if I can try fight it,I’ve tried before,but I was on up to 8 aday then ,I now dropped down to 2, then 1, it’s hardest on just the one after 24 hours but will try

  89. So I took one 50mg tramadol hci (because I have a frontal chest sprain in my left shoulder) at around 1am today and I have a urine test at 12pm today will I pass?

  90. When given a drug test that can specifically detect Tramadol (Ultram) whether it be by blood or urine, is it possible to tell how much of it is in your system? Or does the test merely detect the presence of the drug in one’s system?

  91. How long does it take tramadol to dissolve in my stomach?
    I took a tablet at 1am at 11.30am I had a very loose bowl movement and a whole tablet was visable. I had nothing to eat during that time.

  92. I tested positive for an opi on a hair sample test. I was only taking tramadol. They tell me tramadol is not an opi. Is this true.

  93. I have taken Tramadol since 2000. I used to take just 2 – 50mg a day when I first started. 16 years later almost, I am up to approx 600mg a day. It still helps with pain but I hate being addicted. I costs money and I don’t have any. I have no more cartilage in the knee joints, a pinched nerve in my neck and arthritis in my shoulders with calcifications and in other joints. It’s a daily chore managing pain. Oh, I’m 60 years old and cant get my knees replaced yet because of my temporary living arrangements. Had to quit my job.
    Emotionally it has helped me get through the death of my husband of 30 years, death of my mom, dad, brother and son-in-law. It’s a tough life and it doesn’t get much better as you get older.
    I don’t drink and quit my 38 year smoking habit in 2005. I have a prescription for tramadol but I take more that what I’m prescribed. I’ve tapered many times but never fully quit. I’m seeing a pain specialist on Monday. It should be interesting.

  94. I have been on tramadol for 10 years I finally got off of them….its been 3 days without them and I’m still getting anxieties and butterflies in my stomach and my legs how can I stop this? I cant afford to go to anybody who can help me I’m doing it on my own when will it mentally make me stable after I’ve been off of them

  95. I have neck pain the prescription I have is a year old I work 12 hours a day and my job usually test regularly I know that their test are a 13 panel and they how ever are not sent to a lab the question is I had taken a couple today if I was tested tomorrow or the next day would it show up in my urine??? I do not want to lose my job if the script hadn’t been a year old I would be OK but as it being a year old that my friend is a problem…

  96. Hi. Ive been taking tramadol for the past few months. I have a drug test December 30th. It’s now November 16th. I was wanting to know when I should stop taking it so that it does not show up on the drug test. I’m 6′ 1″ 213lbs. Everything says 3 to 4 days but i read below that at day 5 one persons still showed up. Do i need to stop now? At one month? Two weeks? Im not sure. I would really appreciate the advice please and thank you. <3

  97. Help!! I have a friend convulsing on his bed!! Foaming at the mouth, he ingested about 25 50mg ultram/tramadol pills, he’s not breathing right, I feel he will die on me!!!

  98. I have had 2 urine test and both have showed positive for Tramadol. I have never taken this drug so how is this possible?

  99. Hi! Okay I’ve been reading all of the additional questions on here and I think I’ve got a handle on what the answer will be but I’m going to ask anyway.

    I took 25mg of Tramadol last night, and today I was given a blood test for medication confirmation from my pain clinic. While I had been on Tramadol for over 2 years I went off 6 months prior to starting at the clinic. I had a few left over from my last Rx so I used a half one to fill in as I had been low on my regular meds.

    Am I completely screwed? Is it possible it won’t show up? I’m so afraid I’m going to be released from the clinic.

  100. I’m on probation and took a good amount of tramadol on Sunday had a unrine test at my outpatient treatment on Wednesday. Will this show up? They report to my probation if something shows up in my unrine screen. Thanks for your help.

  101. If I took 2, or 3 tramadol for a migraine, an then vomited is it still in my system to help my migraine? Or did it get puked out?

  102. Hi. I took just one 100mg tablet of tramadol and I couldn’t have an erection and even sustain the little one I had. Please I need to know how long I have to wait before everything comes back to normal. Because on a normal day, I have a very strong and sustained erection but I’ve been sweating and nervous ever since I took it.

  103. I go to a Suboxone clinic and I hurt my back so I took two 50mg tramadols for the pain. Will it show up in my drug screen? Do Suboxone clinics even test for it? I have to report there in 72 hours.

  104. how long will the withdrawl symptoms last when trying to come off tramadol..down to 50 mg x2 a i stopped all long do i wait before all symptoms are gone?

  105. How long do withdrawal symptoms last? What can I do to eliviate symptoms? And the physical issues….my hips and knees are so weak. I used to walk three miles a day. Now, no energy. I am ashamed of myself and do not want family to know. I am nine days cold turkey from 75 mg 3 times daily for 18 months. Please respond. Thank you.

  106. Hi there. I desperately need help. I’ve been on Tramacet for about 2 years. I’ve had two back operations due to disintegrating discs and pinched nerves. I fell pregnant and are now 22 weeks. I haven’t taken any meds since I found out I was pregnant but for the past 3 weeks I’ve had such horrific pain I can’t get out of bed. I had to quit my job as a beautition and are working from home as I’m very limited as to what I can do these days that my back will allow. The loss of income and all the stess is just too much for me. My previous gynae of 18 years said I can use tramacet but not long term. My current gynae won’t give me anything at all and I’m so frustrated. So I’ve been taking not more than 100mg of tramacet for the past three weeks and it’s really helped. I’m scared of the pain but also don’t want to harm my baby and can’t afford expensive therapy. What can I do? Is there anyone who can give me advice?

  107. Hello, I am participating in a medical study and I am not to have any medication in my system it is in 2 days will tramadol show up? Thanks, Debbie

  108. Took Tramodol for several weeks (had rotator cuff surgery on 4/29). Finally went off of it on September 10. Ever since I have had withdrawal symptoms such as itching, feeling like bugs are crawling on me, irritability, exhaustion. How long will this last? Thanks.

  109. I’m a 56 year old female. I have used Tramamdol for 4 years for neuropathic pain from a botched hernia surgery but have recently started having speech problems, which is a problem as I teach for a living. I am also on Gabapentin, amitritpyline and wear a lidocaine path. This has been holding the pain at tolerable levels, but something is causing this side effect, and it’s a quality of life issue. My pain doc thinks we should stop the Tramadol (I have used 600-800 mg a day), and has substituted Percocet (half pill as needed while we try to figure out what is causing this speech problem. I am not having serious withdrawal symptoms, but also don’t want to get hooked on opioids like Percocet, either. It’s now been almost 24 hours since the last tramadol, but the speech problems are persisting and the percocet isn’t helping at all. I am also taking a calcium channel blocker (Cardezem) as I have developed coronary artery spasm in this whole mess. I am determined to not have my life ruined by that surgeon but some days are harder than others. Today is one of those tough days. Any insight as to whether long term users (who need it for pain) develop these kinds of speech problems and/or what can be done about it? Thanks for any advice

  110. My husband takes Tramadol. 59mg. he can take it every 6 hours but only takes it every 8 hours. He pulled a dumb stunt and went down a one way street the wrong way and got pulled over. They could not smell alcohol she asked him what he was on. he replied pain pills. They took him for blood tests. My question is… he was already 2 hours late in the pill. would he have mush Tramadol in his system .

  111. Hello I used 400mg tramadol mixed by 600mg lyrica after 6.5 years i went a detox stopped at 10 2013 now 8 2015 it goes bad with me biting my jaws less energy troubles breathing and a lot of spitting can this shit still be in my system?age 44 nerve problems after second back surgery

  112. I was perscibed tramadol and I breast feed but I don’t want to breast feed while on tramadol I was wondering how long does it stay in your system and when is it okay to breastfeed again when it is out of my system?

    1. Hello Tasha. Research indicates that almost 0.12% of the entire tramadol dose (about 100 mg via intravenous mode) can be secreted in breast- milk, for a period of up to 16 hours after intake. If your dose is infrequent and low, there won’t be any significant side effects for your baby. However, if you are prescribed regular doses of Tramadol, treatment should be discontinued. Ask with you doctor and a paediatrician to find the proper solution that is ideal for you and your baby.

  113. I had surgery about 3 1/2 weeks ago. Because I am allergic to hydro condone I was prescribed tramadol 50 mg….about a week ago I tapered back from takin 2 mid day and 2 at bedtime to only the 2 at bedtime. It was prescribed to take 1 or 2 as needed every 4 to 6 hours. The last time I took a tramadol was about 48 hours ago. The reason I stopped was I developed uncontrollable itching which starts with the palms of my hands and before the episode is over the itching covers my body. There is a redness sometimes and when I scratch whelps develop. Can you tell me how long this will last approximately? I have about 6 episodes a day lasting 1 to 3 hours. Thank you very much for your time.

  114. Hi I have a drug screening coming up for a new job and i take Tramadol on a daily basis. 3/4 in the morning and 3 in the evening depending how severe the pain is. Will I fail the drug screening? I believe the test is to ensure there is no illegal substances in my system like marijuana, cocaine, morphine etc.?

  115. I took 2 50mg tramadol on the 22 of July and have not took anymore .And have a drug test mouth swab (going to a Lab) on August 12. Do u think i will be ok and pass.

  116. I took 2 50mg tramadol on the July 22 and i have a schedule drug test mouth swab on August 10 that will be sent to a lab. Will it show up on that test? Thank you for any info u can give me.

  117. I’ve realised I had an addiction to tramadol and have stopped taking them as hated how dependant I was on them. I’ve had the sweats shakes vomiting and now my temp is sky high…how long does this last? It’s been like this for 3 days and can’t sleep at night….how can I help this go? Thanks for your help

  118. I’ve been taking Tramadol for over a year to help me sleep at night by “blunting” the effect of an impinged nerve from an accident I had had. I didn’t know I was addicted to it until I forgot to pack it for a trip. WOW! I’ve been trying to taper off by myself, taking off 1/8 of the dosage I had been taking (100mg at night) every 6 days. A doctor has been working with me, giving me supplements to help ameliorate the symptoms that come and go throughout the day without warning. My question is, when I get down to that last 6 days and that last 1/8, what can expect afterwards? Will this stuff eventually be out of my body totally with not chance of relapse?

  119. I took the maximum dose of 400mg with my last pills (3 at one time) being on a Thursday night at almost midnight. Will tramadol still be detected in my urine on Monday at 7p.m.? I do know for a fact that the test does specifically detects for tramadol levels up to 300mg. Thank you.

  120. Took tramadol 50 mg on Thursday, the 16th at 11 AM for some pain. Prescribed for someone in my household but not me. Haven’t taken this or any other opiate in over a year, neither have I done anything else that would show up on a test. Got a pre-employment drug screen coming up, a urine sample 9 panel standard test scheduled on the 20th, 4PM. Anything I can do to help it thru my system and pass the test?

  121. I stopped taking my tramadol 3 days ago.. I went through the withdrawls already, am I safe to have alcohol? ?

  122. I’m scared to death that I have failed my urine drug screen at the methadone clinic I have attended for 2yrs and have never failed before. I took Tramadol for pain because I didn’t think it was a narcotic but I took it 56 hours before my drug test or about that amount of time should I be Olay or have I failed PLEASE REPLY ASAP thanks in Advance

  123. I am prescribed tramadol but smoke marijuana chronically I need to pass a urine test but I still have to have the prescription in my system I won’t quit smoking will probably day of app but I also need the medicine do u have any options

  124. I had a drug come up positive for tramadol but havnt taken any and need to know what may cause this please help!!

  125. i took two 50mg Tramadol at 11:00 pm last night. First time ever. I now founding have a random UA at 2:30 pm. Will this show up I know e run a basic five panel drug test.

  126. i i’ve just started taking tramadol is it safe to take hundred milligrams at 6 AM and have a drink at 12 noon . If I don’t take another tablet that day

    1. Hi Alan. If you’ve just started taking Tramadol, 100mg are a pretty high dose. Were you titrated? Also, to answer your question – NO. Alcohol should not be consumed in such a short time of taking tramadol and you should avoid drinking completely while receiving therapy.

  127. I have a question and to be brutally honest I was stupid…I had a rx years ago for tramadol for a back injury and arthritis pain. Havent been able to see dr regularly due to money issues. My father also gets same meds and shares with me as he sees I am still in pain. I now have a good job opportunity coming up and could finally get health care….but I quit taking tramadol after I realized it could cost me the job…..I probably have a week or so advance on testing (urine- I believe) will this show up on test or am did I see the light in time by quitting. thanks to anyone who can help with an honest answer.

  128. My husband was given Tramadol for an accident last week. Because he was jerking really jerking , talking in his sleep, not eating, struggling with strength to get out of bed we stopped it. He just because he was jerking so hard it was waking him up. How long before the side effects leave?

  129. I’ve been trying to detox tramadol out of my system. I’ve taken it for about 18 months. 3 times a day 250mg. I was really sick, and I did need it, but now it’s just the dependency of my body that prevents me from getting rid of it.. I slowly took down the dosage over the last 2 weeks (made me really sick) and now i stopped taking it completely for almost 48 hours (last dosage was half a 125 mg pill). I still feel really nervous, and altogether not very good. Is there anything I can do to speed up the process? I’ve been drinking lots of water. But it doesn’t seem to cut it. Any help at all would be awesome.

    1. Hi Anna. There is nothing you can do to speed up the process. You can do some things to make the withdrawal symptoms less intense. Drinking fluids is good idea, since many of the withdrawal effects can lead to dehydration. You can also try food or mineral supplements and vitamins that help to stabilize moods. Also, go to the local pharmacy or see if you have some over-the-counter medications around the house. You can use ibuprofen, acetaminophen or paracetamol to help with pain along with other NSAIDs (non steroidal anti-inflammatory drugs). You can also use temporary sleep aids and muscle relaxers that can help take care of the cramping caused by tramadol withdrawal. General flu and cold medication can also help treat general tramadol withdrawal symptoms. I hope this helps! Get well soon!

  130. Im taking tramadol from my doctor because i have involentary movement in my whole body thats why i got this perscribed i was okay for about 2mos it worked for that problem but then my body started doing it again along with babbleing as soon as i relax along with hylousionasions ive stopped them completely how long is it going to affect me?

  131. I am being prescribed Zoloft for anxiety and have been taking tramadol 50mg 3 times a day for going on two weeks now. I know these two medications cannot be taken together so my question is how long should I go between my last tramadol and my first Zoloft to avoid any interactions? Thank you!

    1. Hi Jennifer. I believe this question can be answered most accurately by a doctor or a pharmacist.

  132. Ivana @ Addiction Blog, Tramadol is now tested for on 10-15 panel tests especially for those in pain management or involved in treatment. Are you certain that 48 hours, give or take various factors, is really the detection window. Every other source claims 3-4 days, and even on this very blog you have said that other opiate medications like hydrocodone which has a shorter half life than tramadol have a window of detection of about 3-6 days. I see a lot of conflicting information here.

    1. Hi Concerned Citizen. Yes, after administering a single dose of tramadol, it shouldn’t be detected in a person’s organism after about 48 hours have passed. In people who take tramadol more often and for a period of time it stays detectable 2-4 days after cessation of regular dosing. Of course, these are just the general estimates and the detection time varies for every individual and depends on many factors.

  133. Wish I had a doctor that would be upset if I WASN’T taking Tramadol. Expensive buying it off the street, all because it’s viewed negatively with the other PK’s, when for me it’s the best anti-anxiety medication I’ve ever taken-and I’ve tried them all.

  134. I was recently given a drug test at my doctors office and showed up negative for tramodol when i take it several times a day. I had even taken three the morning of the test. The doctor is worried because it didnt show up that i am not taking them. Why would or could this happen? I also take naproxen, gabrapentin, flexeril, docolase, and muralax. Could any of those interfere with the test? I am upset because it came out that way and i am worried that he will stop my presciption. Without it..i cannot function. I have fibromyalgia, three bulged disks, pinched nerve, and endometriosis along with many other problems and im a single mom. My babies depend on me. u cant afford to be in bed in pain all the time..

  135. Hey i go to a suboxen docotor and its tomorrow!,and i took three 50 mg trammadols this morning,its not till 2:30 tomorrow, but i need to know if itll even show up,if.i can drink.lots of water to get rid of it,or am i wasting my time,i know i shouldnt of taken them,but i didnt know if they was a narcotic or not,i was told bysbysomebody they wasnt,please help!

    1. Hi Elle. Most commercial opiate immunoassay screening tests do not cross-react significantly with tramadol or tramadol’s major metabolites. In order to be detected, chromatographic techniques need to be used. But, you should be fine even if they do find it, if you have a prescription to it.

  136. Hey, i take tramadol in oral drops(around 30-40 drops a day)which should be around 200mg if at 40, i buy them at a normal drug store and they dont ask for anything so i dont have a prescription,if i take a urine test to check for drugs will it show up even if i stop for around 3 days?, and could i get in any type of issue for not having a perscription.the test is for a job interview.

  137. Got prescription for tramadol from 1 doc and morphine from another. Doc who writes traml knows about morphine but won’t write for it. Gives me tram for intense days. Doc who writes scrip for morphine will test me in 2 days
    Took last dose this morning. 2 50 mg tab. Should I b ok for test in 2 days, BTW averaged 2 tab per day 2 to 3 times a week b4 today.

  138. I have major depression with Pipolar,the depressive side I was taking mirtazpin 50mg , Ablifiy 15mg clonazepam 2mg morning and night .
    I stop mirtazpine and Ablifiy .i start taking tramadol 50mg in time I got up to 200mg a day with 4mg clonazepam at frist I was feeling good but now I am depress with little mood swings , racing thought ,very stress worry fear please hep what do I need to stop tramadol but I scarred of the side effect plus I mental proplomes to begin with like I mention earlier . thank U your Advice is very helpfull

  139. I am having an anxious feeling taking Ultram. Is this normal? I am having trouble sleeping and breathing. What should I do?

  140. I see nobody had a response to my positive review on the benefits of Tramadol as far as treating depression/anxiety. If taken responsibly, I do believe it to be more effective than any other drug on the market (and it’s not even in the same class!). I’m glad, though that the post was fairly allowed as most of the posts are generally negative and involve an unwanted addiction to it. Anyway-I do have some relevant information to the entire subject of the post. Went to the Doctor last week for shoulder pain & anxiety and they required a drug test because they were prescribing actual Painkillers (and Clonazepam). With taking 3-4 100 mg’s, about 3 times a day =1200 mg’s maximum in 24 hours I can report that everything was NEGATIVE. There was an initial false positive for Phencyclidine, but that was it. This is a fantastic, recent bit of evidence as it comes directly from the hospital lab & tests specifically for drug addiction. In the letter, the categories they tested were: Ethyl Alcohol, Amphetamines, Barbituates, Cocaine, OPIATES (for those wondering there…), Benzodiazepine, Phencyclidine, THC (Weed), & Creatine Urine.

    So, I realize testing differs everywhere, but that’s a great indicator of what to expect if you’re looking for some good news!

  141. Wow, some of these comments are ridiculous! Worrying about driving 12 hours after taking 50mg of Tramadol! Haha! Really?! Cracking 50mg pills in two and taking half? You people must have never taken a real drug in your lives. I’m not saying its a weak drug or anything, but geez…Oh and by golly, look through some of the posts above before you ask a lame question that’s already been covered like 20 times.

  142. Hello Beth. I’d suggest consulting your doctor or a pharmacist an this issue. I’d say 12 hours, since the half life of tramadol is 6 hours. Still, doctors know best.

  143. Hello Juliana. My advise to you is to see a doctor, because from what I can read in your comment-you quit cold turkey. You’ll need medical help to treat withdrawal symptoms and go through this without causing your organism too much stress. Of course, tell your doctor that you are pregnant, so he can apply the appropriate therapy methods.

  144. I am 3 weeks pregnant and I have been taking tramadol for about a year know I took my last 2 pills yesterday before I found out I was pregnant and I’m need to stop but this cold sweats,dizziness lost of energy and the worse of all i wanna relax and my body just can’t stop moving it gets worse at night time how long will this continue ? So long is been 24 hours with all this symptoms

  145. I take 250mgs of Tramadol twice a day for severe back pain because last year I broke my back in 3 different places, will the Tramadol show up in a random standard UA?

  146. Is there any chance Tramadol will be viewed/prescribed as an anti-depressant in the future? I take 3 100mg tablets a couple times a day. I tried everything, to no avail. I discovered Tramadol nearly 2 years ago & have felt better than I ever have.
    First, it doesn’t mess me up. It simply gives me a pleasant, calm, & positive mood I’ve always lacked. It makes working & everyday activities enjoyable-simple things! I have way more confidence & motivation, enjoy life a lot more, am no longer stressed out about everything, helped my insomnia & also rarely drink anymore. I could go on, but am at a word limit. Finally, I’ve been told by close friends and family that I am way more pleasant to talk to & be around than I used to be.
    So, I think I am a great example why it can be viewed as an effective anti-depressant/anxiety medication-for ME, not all. I call it a “mood enhancer.” Of course, I can’t talk to my Dr. or anyone about taking it w/o being automatically dismissed/lectured. If only I had a prescription for it. Simply being happy shouldn’t be this difficult & spendy 🙁

  147. Hi Marilyn. Tramadol has a half-life of 6 hours. So, after 12 hours it is safe to drive, since the effects of the medication have long passed.

  148. Hello Shanna. Seizures are possible with Tramadol, but it’s always listed as a side-effect associated with withdrawal. You can also be in a greater risk of seizures while taking Tramadol if you suffer from epilepsy, have a history of seizures or head trauma, if you have previously abused or are now abusing Tramadol or in case of overdose. If you have any other concerns, please talk to your doctor.

  149. I have been taking Tramadol for 3 years daily for chronic back pain. Caused by a broken vertabre suffered in Afghanistan. Should I be concerned about seizures etc? Should I possibly consider talking with my Dr about changing to something else?

  150. Had to tke a florida drug free work place urine screen. will tramadol show up on this test. It list a comprehensive panel as test to be performed.

  151. Hi Concerned momma. Considering your daughter’s pregnant, it’s not safe for her or for the baby to do anything on your own. Make a doctor’s appointment and also consult with a gynaecologist. It’s not recommended to put her through harsh withdrawal while expecting.

  152. Hi, My daughter is pregnant and takes 150mg of tramadol a day how should she stop taking it or is it safe to take while pregnant??

  153. I took one 50mg Tramadol for knee pain 2 days ago and have a 12 panel drug screen test which will test for it tomorrow. Will I be able to pass my test?

  154. I have been taking tramadol 100 sustained released for 3 days. my last dose was 12 hours ago. can I take Mersyndol now but not the tramadol dose?
    thank you

  155. Hello…im really freaking out….i had a random drug screen today for work and i took some tramadol in the morning for a migraine..i had previously had a prescription for them but i no longer do. i got them after a miscarriage. i dnt have the paperwork or anything and so afraid its goin to show up in the drug screen n how i will explain it.. Plz help

  156. My sister is in a HPRP program in Michigan. She was given tramadol by her family physician who knows that she is in the program, but since she was having severe back pain that was not being helped by the epidurals she was prescribed this medication. Now she has had a mouth swab, a hair sample and she has to do a urine drop weekly. They said she was positive for more then what was prescribed. Can they actually figure that out through these 3 different tests?

  157. Is there a reason why tramadol might show up on a drug test even when I haven’t taken it at all. Like food, normal cigarettes, juices, or anything else. Please, I am desperate because I just tested positive…

  158. I have been taking Tramadol for 4 years now, and I take it for cronic pain for my back ( I have 2 degenerating discs. I also take it for my knees. I want to know is there something else I can take now insted of tramadol? I want to stop taking it slowly. I truly take it for this horrible pain. But there are certain times I dont refill it on time or I dont go see my doc for I dont have the money fir office visit. When I dont drink it for a couple of days, I feel like I got hit by a truck and I became extremely uncomfortable. What can I do?

  159. I’ve taken tramadol 50mg x2 daily, for 3month, stopped Sunday morningI feel sick, night sweats, crying over nothing, doc thinks it’s depression, but I’ve only been feeling like thus since Monday, which is why I think it’s tramadol. If I drink water will this help get rid of it out my system, how long will it take to feel more myself.

  160. I took a half of a 59mg Tramadol on Monday morning around 10:00 a m and got drug screened on the following Wednesday….will it show up? Is there really a “specific” test for Tramadol that is not normally routinely done?

  161. Had taken tramadol for 6weeks until had spine surgery. Took 1-3 tablets per day. Stopped tramadol 6days ago. Feeling horrible. Jittery, heart racing, mind can’t settle, unable to sleep. How long before med out of system? What to take to help sleep. Should heart rate start to return to normal soon?

  162. If you have used tramadol for 3+ years at a dose of 50mg taking 2 pills twice a day total of 300mg a day how long will it take to get out of your system?

  163. Is there anything that can cancel out tramadol in blood work? My son is in prison prescribed tramadol and they are accusing him of not taking it.
    would I B profen or any food that may cancel it out in blood work ?

  164. I was prescribed 240 pills of tramadol for two months straight everyday taking doses. I finally came off the medication I got prescribed and 2 weeks later got tested and there was still signs of tramadol in my system how long will it be in my system since I was a chronical user. Please respond this information is very important to me

  165. If i took a 50 mg tramadol monday morning will it show in a lab test the following thursday? 3 Days later…. not a user. was used for a back ache.

  166. Hello Kim. You can call the Poison Control Center to assess your risk of overdose: 1-800-222-1222. Then, you can taper down off tramadol with the help of a tapering calendar. And you can get help for possible drug or alcohol addiction by calling 1-800-662-HELP.

  167. I have an addiction to tramadol, at my worst 40 a day. I’ve taken 17 in the last 13 hours, but also drank a lot of vodka, mt heart is racing, is there anyway of calming this down or should I just wait? I have been in this situation a fair few times and been convinced that I’m going to die so I don’t sleep. I know it’s stupid but I have too much to deal with at the moment. I just wondered if there was any quick way to sober up.

  168. I have a prescription for 50mg of tramadol for my severe back pain. I onIy took 50mg OD for 3 weeks and have to take a drug test for Nursing school and didn’t take the drug for 3 days and then took 50mg this morning because I was in agony. How many days should I let pass before I take the required drug test?

  169. am using tramadol for emotional pain, I tried to quit so many times but it didn’t work :S I really want to stop it but its in my blood for almost 6 years!! is there any other medication I can take instead of tramadol but without any side effects ??!

  170. Took 500 mgs on a Thursday at 5pm
    The following Friday I was tested at 12pm for a drug screen/alc test for a construction job. That’s 7 and a half days. Still nervous about false positives.. But if it does clear in 1-2 days should I be concerned about any test finding tramadol? Even a gc/ms specifically designed for tramadol shouldn’t find it at that point either right?

  171. i been taking tramadol for a year now, and i have a drug test monday morning will i fail this drug test please help oh and i don’t have a perscription any more please help.

  172. Hello Mia. If you are in need of tramadol for pain, I’d suggest that you talk with your prescribing doctor about cutting back slowly. Can you treat breakthrough pain with NSAIDs instead of higher doses of this opioid? Or are you using tramadol for emotional pain?

  173. hello am 26 and ‘ve been taking tramadol for almost 6 years in a row i know its horrible and I tried to quit so many times but it didn’t work and I want to quit but am afraid from the pain am going to be in and for how long will take to be normal??

  174. Can a person die from Tramadol overdose? How many pills would a person have to take in that case? If an autopsy was done in a week from death, would pathologists be able to find Tramadol in blood/liver etc?

  175. i was taking thirty to forty pills a day. ten at a time of the fiftys. it does give you seizures believe me. it also makes men and women extremely horny. i have since gotten on suboxone and feel much better.

  176. hi i need some advice bout tramadol withdrawl iv been off tramadol for 2 days i just came straight off them i was taking 4-5 50g a day for a trapped nerve in my neck when will they be out my system toatally my doc has now gave me co-codamol 30mg/500mg will they help with the withdrawl symptoms

  177. Tramadol does NOT causes seizures with prolonged use. Seizures are a possible serious side effect that some people have, but show up within 1-3 months of starting the medication. Infact, Tramadol is prescribed to treat certain types of seizures in patients who have difficulty taking or are allergic to the standard anti-seizure medications. I have been on this drug consistently (3-4 50mg pills per day) for about 6 years now, took them for 2 years post back surgery 16 years ago (as a teenager) and have taken them off and on for all the years in between that. The seizure disorder I have actually started at a time when I hadn’t taken any of the pills in at least 2 weeks and was during the on and off period. I first started taking this drug 16 years ago and I’ve also extensively studied it in and outside of a lab setting,I’d consider myself an expert on it.

  178. Ahhhh yeah dont know how healthy this is, but i was hooked on hydrocodine, oxycodine ect. thought tramadol was a wonder drug cause it eased my withdrawel symptoms. Then after around a month of taking tramadol i was in the same boat as I was when i was coming off the codine( the main reason i quit was i took care of my pain, it was for dental pain n my d@&n insurance wouldnt cover the dental work n i had a good dentist who offered to extract all my top teeth which sucks but pain free! and for the price of one) but to ease my withdrawls i used immodiam ad…… not only did it help the trips to the rest room but i didnt feel the withdrawls at all just weakness…. GOOD LUCK TO THOSE GOING THROUGH THREE DAYS OF HELL! just know you’ll feel A LOT BETTER when its over

  179. Amanda,

    Tramadol will not show up on a urine test it is not an opiate or any other drug. Just a weak painkiller with no opiate

  180. I took 2 50mg tramadol this morning and i have to do a urine drug screen for my dr on Friday to renew my meds and they send it off to test for tramadol. Will this show up in my urine?

  181. I took 2 50mg tramadol this morning and i have to do a urine drug screen for my dr on Friday to renew my meds and they send it off to test for tramadol. Will this show up in my urine?

  182. for a heavy abuser who took a large quantity of Tramadol/Ultram (close to overdose amount, but not sure how many) what is the absolute maximum amount of time a Tramadol specific urine test will be positive in the urine? Everything I’ve read says 2-4 days. Day 5, this person is still testing positive.

  183. Hello Samantha. Snorting tramadol can bring on nausea and vomiting from a reaction to the opioid qualities of tramadol in the same way that oral ingestion can. Snorting tramadol is, in fact, more dangerous than taking tramadol orally and is not recommended at all.

  184. Hi, I’m pretty experienced with tramadol. A year ago I stopped abusing tramadol. It wasn’t prescribed to me. I abused for about 2years. The other night I found more in my medicine cabinet so I took four 50MG. I’m allergic to some stuff used in It. I heard morphine was in it? I don’t know. I’m wondering if I snort it, I won’t get sick and throw up the entire next day? Is snorting safer?

  185. hi. i am being tested for abuse of tramadol which i was doing..i have stopped taking them and have been withdrawing bad.. its been almost 2 days since ive had any and i just gave a urine to test my levels im perscribed 1 every 4hrs of 50mlg when abusing i wuld take up too 15 a day since the half lifes only 6 hrs my levels shuld be down to a somewhat normal range right?

  186. Hi, hopefully my question is answerable. I got ahold of 22 tramadol 50 mgs and I took them within a week for pain and for a distraction from everyday life. I have a UA drug screen in 1 week and will not be taking anymore. I found out there is a good chance I will be tested for tramadol. I’m 165 lbs and only 5’2 I have a rather slow metabolism. Do I have a chance of failing the test based on this information?

  187. Hi Jac. As long as you have a prescription for tramadol, you should be OK and test NEGATIVE for abuse. Just present your prescription to the medical review office in charge of the test (before OR after you take it).

  188. Dear sir, i’ve been taken 1 capsule of tramadol 50mg to relieve my toothache. However, when i found that tramadol is one kind of opioid compound i immediately try to vomit out the capsule as i just took it together after my lunch. After that i don’t feel that my pain was relieved but i felt drowsy. Can i pass the urine test that provided by police? How long it takes to get off completely from body?

  189. Hi Kim. Sometimes symptoms of opioid withdrawal can persist for a good 7-10 days. I’d suggest that you consult a pharmacist for over the counter remedies that might help you break through this window of acute withdrawal. Also, seek advice from your prescribing doctor…such as a tapering regimen if you need to return to tramadol to get to work.

  190. Hello, I am on day 3 of stopping Tramadol cold turkey. I have been taking it for mth 100 to 200mg a day. First day chills,sweats restlessness headaches. Second day diarrhea chills, sweats headaches and no appetite. Now on my third day vomiting a little ,diarrhea restless leg syndrome. Will this go away soon I have to go to work tomorrow and nervous I wont be able to go . I need in put please on how long will this last.

    Thank you

  191. Hi Amanda. Most 10 panel drug screens will not include a specific screen for tramadol. Tramadol is unique in that it is not detected in even a general “extended opioids” urine drug test. Instead, its metabolites require specific testing. The drugs that are usually included in a 10 panel drug screen include:

    cocaine, marijuana, amphetamines and methamphetamines, PCP, benzodiazepines, barbiturates, quaaludes, methadone, and

    More info on general employer drug testing from the Department of Labor here:

  192. I read on some places that Tramadol will stay in you system for 20 days or so. Is this True? Will it show up on a 10 Pannel Urine test after 6 or 7 days?

  193. The main danger of mixing Tramadol and alcohol is their unpredictable, additive depressant effects. The half life of tramadol is about six (6) hours, so that means that you still have half the dose of tramadol in your system six hours after taking it. To be sure that your body is totally clear of tramadol, wait a full 24 hours after last dose so that tramadol can clear your system.

  194. Hi Jess. No, tramadol requires a specialized test because it is not a chemical “opiate” nor an “opioid”. Rather, tramadol is in a class by itself. Check with a lab technician about what specific testing is required for tramadol, because its metabolites are different than most of your known opioids (hydrocodone, oxycodone, etc.) even in an “extended opiate” panel.

    Benzo or opiate use should be detected in a hair follicle test and are isolated individually. Good luck and please let us know how it goes!

  195. I have a few questions about a hair follice test. We are going through a custody casing and wondering if a prescription for tramadol 50mg, 20 tablets will show on a hair test as an opiate? Also will ocassional, say once a week or so, use of benzo or opiates show as well? The person in question has been tested almost weekly by UA screens and has been able to pass. We don’t believe there is continued “heavy” use of drugs but are wondering just how sensitive these tests are now. The test is going to include drugs of abuse along with the extended opiate panel. Thank you!

  196. Hi Connie. Tramadol requires tramadol-specific testing. It won’t show up as an “opiate” in a standard DOT 5 panel test. Because you’ve been using tramadol daily for more than a few weeks, it make take a few days for tramadol to clear your system.

  197. If you take tramadol for 30n days in a row how long will it take to get out of your system for a drug test for a back pain clinic. I have a bulging disk in my back, they burned the nerve endings in November and it helped until last month. I could not get a dr. appointment with my back dr. until October 18th. I do not want the ultram to show up on the test and then they will not give me meds. Does anyone really know they right answer to my question. I do not want to get in trouble. I just need some relief now!! Thank you so much for your help.

  198. Hi Anna. What’s the drug test? Tramadol is a very specific drug and will show up only on a toxicology screening specifically designed for tramadol. Most standardized drug screens such as multiple panel tests (5 panel, 7 panel, 9 panel, 10 panel tests) do not cover tramadol.

  199. I took one 50mg tramadol one time on sunday, i did not know it could show up on a drug test(urine) otherwise I wouldn’t have taken it. I just got put on house arrest and take a drug test today. Since I only took one 50mg, one time, infact the only time on Sunday, will I pass the urine test on Tuesday??

  200. Hi Erin. I feel for you. In practice, doctors should advise you to stop tramadol treatment gradually, especially after lengthy treatment periods. Withdrawal symptoms for chronic tramadol use occur at or below the maximum recommended daily level of 400 mg per day.

    That said, in general, shorter acting opioids like tramadol tend to produce shorter; more intense withdrawal symptoms, while longer acting narcotics produce a withdrawal syndrome that is protracted. Although unpleasant, withdrawal from tramadol is rarely life threatening and symptoms tend to pass within 7 days after you discontinue tramadol use.

  201. I am on my second day of withdrawal from Tramadol, I took it for chronic pain and fibromyalgia and ovarian cyst. I was on it for almost 2 years, and the first day off was hell…shaking, sweating, goosebumps, all over body aches and pains, headache and nausea. Today my 2nd day I have had mild diarrhea and not as shaky,but still sweating, cold, and run down like I just want to sleep but I cannot. How long does it take for the Tramadol or withdrawal symptoms to stop in a person like me. I was taking 100mg 2x a day sometimes more. Please I would appreciate the feedback cause I am not feeling so well.

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