How to withdraw from tramadol

The first 72 hours of withdrawal from tramadol are the most difficult. With over 50+ symptoms attributed to withdrawal from tramadol, the best way to withdraw from tramadol is under medical supervision. We review more here.

minute read

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

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

When do you withdraw from tramadol?

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

How long to withdraw from tramadol?

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

Can I withdraw from tramadol at home?

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

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

Withdraw from tramadol symptoms

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

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

How to ease withdrawal symptoms from tramadol

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

How to withdraw from tramadol safely

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

The best way to withdraw from tramadol

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

How to deal with withdrawal from tramadol questions

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

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


Leave a Reply to Jenny Cancel reply

Your email address will not be published. Required fields are marked *

I have read and agree to the conditions outlined in the Terms of Use and Privacy Policy.

  1. Hey i have been taking tramadol for almost 4 to 5 months now and it wasnt prescribed i started it as just to sleep in peace and i thought that it would help me with my depression anxiety and it would relax me thats what a freind told me when they gave me every since then i cant stop taking it i used to take 500mg a day but now i have reduced it to 350 mg i cant operate without it i am suffering from a weight losee , anxiety, confusion i cant get up from my bed i dont go out i spend the whole day at my bed
    i take the whole 350 mg when i wake up since i cant operate without it i need help i feel hopeless i miss going out having a life

  2. Iam withdrawing off of tramadol for one year now. What foods and herbs can I take tohelp me completely withdraw off of tramadol for good. please respond as soon as possible. Ireally need your help.

  3. If anyone needs a natural way to stop withdrawal symptoms, PLEASE look into kratom. It got me through WD from oxy. It will get you through WD from tramadol too. Find a good vendor. Local shops don’t always have quality products. It can also get expensive that way. There are good online vendors. I don’t want to post the website links without approval. I don’t sell it myself and I’m not affiliated with them. I just want to help if I can.

  4. I’m trying to get off is the first day . I tried before but I didn’t help my self so now I’m willing to. Wat do I do with these withdrawals. Please help me please

  5. hi my scrypt was due for delivery friday 22nd dec, but chemist said to late to deliver until after xmas but i could pick it up next day. i had already taken last tramadol on the thursday so i was suffering withdrawal. on the sat. i woke sweating suffering fro chills and anxiety later depression set in and i could not go to collect scrypt. i have suffered terribly over xmas now suffering dizzy spells and periodic signs of depression. i should add i contacted surgery but reception refused to put me through to speak to a doctor and nothin to do with them as it was up to chemist to pick up scrypt . chemist said nothing they could do as with surgery said it was not an emergency.
    . i have gone this far and determined to get there on my own with no help. what a miserable xmas !!

  6. Hey there, my gf has been withdrawing from tramadol for a few days now and she is restless and in major pain. People have told us there is nothing the doctors can do so we’ve avoided going to the doctor. My question is, what can she take to get some sleep until this is over ?

  7. Just wanted to post some hope. Had been taking tramadol slow release for five years for fibromyalgia. Had to stop due to bleeding stomach ulcer. So cut down by 50mg every three weeks. Every time I reduced I had 3-4 days of feeling awful…sweats…shakes…diarrhoea…flu symptoms….nausea…..agitation and ,restless legs. But I got through and took my last ever tramadol 26 Nov. I won’t lie, I have never felt as bad as I have in the last four days….all of the above plus no sleep……none…not one z. However apart from feeling shattered I am beginning to level off. No sweats or agitation today and feel nearly normal. So I am nearly there. I feel I can do this. Knuckle down folks…….harder than chemo …..but can be done. Will keep you posted. Got temazepam for tonight. So finger crossed x good luck

  8. Hi my doctor at the hospital first prescribed tramadol beginning of 2017 for back pain after knowing I had previous long drug addiction to amphetamine which I have up in 2011 after 18years of addiction. I have osteopenia and multi disc degeneration my problem is I was prescribed this and straight away addicted I don’t take what I’m prescribed I just cane then between being good 15 a day at 50mg to worst being 40 a day 50mg I like the buzz and the pain relief but when I STOP I ache like hell which is what used to happen with withdrawal from amphetamine. But that does subside after a few days as I do ache a bit with osteopenia normally anyway . I have tried all other pain killers and anti depressants but I hate them all with their side effects if anyone can help with my problem or my addictive personality any help gratefully received. Thank you

  9. I have been given tramaol for at least 28 years. I have my medical canibis card to get off this drug and go holistic. I miss one dose my heart goes nuts. None completely I hurt so bad cant speak. Went to ER told them I was told find a treatment center. I as a patient just followed drs orders. Now I have 9 days of med left and no hope of help. Doesnt seem fair.

  10. I was taking 1 50 mg 3X day, I cut in half for 10 days, then 1/4 pill for 10 days. What I have now is total tried, don’t seem like the flu, I’m eating, drinking, but way too much sleep. Could this still be hanging on ?

  11. Folks. I’ve been there. I was on it for 1 1/2 years at 200mg a day. 100mg around 9 or 10am then another 100mg between 5 and 6pm. I was taking it because it made me feel good. NO OTHER REASON. I wasn’t in any pain or the like. It was completely recreational. I woke up one day and wanted to stop. I don’t really know why. I still had around 150 pills left. Enough to last for months. I just had a strong desire to get off them. Since it was only 200mg a day I did it cold turkey. (200mg is actually quite low. Many are far higher even 800mg to 1000mg a day ‘just to get by’). There right here saying the first 72 hours are the worst. It is, there’s no words to describe it. Saying ‘flu like’, ‘body aches’ are just words. Unless you’ve been through it THEN those ‘words’ take on a whole new meaning. For me anyway, after a week and a half those feelings had dissipated enough to start functioning a bit more. Then the overwhelming fatigue. You’ll feel fine for 20min. then completely exhausted, then feel good for 10min. then exhausted again. This lasted in me a few weeks. To be honest in my case it took MORE than a month to ‘feel myself’ again. My advice. If you’re taking it FOR FUN like I did. Please stop on your own terms. Imagine if something drastic happened in my life and those withdrawal circumstances were chosen for me. Stop now while you still have control of your surroundings and how you will do it. Don’t let bad circumstances decide when you will stop. I hope to god you understand what I’m saying and mean here.

  12. I have been taking tramadol in excess of 5 years for fibromyalgia. I have always taken 50 mg 3xdaily. I was put on this DRUG when every doctor thought it was a miracle drug that was nom addictive. my doctor suddenly quit and my new doctor no longer wanted to prescribe it because it is now a controlled substance ( should have been from the beginning). He told me to just taper off. Much easier said than done. Fortunately I had extra ones because I had never abused it. I began tapering down an have dealt with every symptom mentioned here. I do not have an addictive personality but this drug controlled me. It took me 3 attempts to get off it. I have now been off it for 6 days. Still restless nights, lightheaded,coughing like my throats is in spasms. Hopefully I am finally finished past te worst of it. Will ver take it again

  13. Hi there… after taking tramadol for 16yrs due to back pain as a result of car accident and hip pain (unsuccessfull hip replacement) I was forced to go on a COLD TURKEY detox (personal reasons) treatment that was quite an experience (both emotional and physiological) due to my circumstances I had no medical treatment or any type of advice… I had to MAN UP and ride the detox wave… IT WAS HORRIBLE… I experienced all the symptoms written above In this blog… from anxiety to insomnia ( still suffering from it) to restless arm and leg syndrome to agitation (still present) it’s been exactly 8 weeks now since I took my last tablet and am now experiencing severe itching, particularly at night in bed, it can get quite severe, that may last a few hours… I have made an appointment (finally) to see my doctor next week and am hoping that I have gotten over the worst… I don’t vomit any more my digestive system is soooooo much better now…. now all that effects me is the lack of sleep… I get a total of maybe 3 to 4 hrs sleep a day (broken)…. I am optimistic as Im noticing that I don’t have the craving anymore to take the tablet… I was wondering if it’s normal for this detox to take so long… and if so what can I do in the interim to put up with the agitation at nights…

    1. Hi Rico. Sometimes withdrawal may last up to several months. You may want to download our e-book ‘the Definitive Guide to Drug Withdrawal’ to learn more about tramadol withdrawal:
      As regarding to your sleep disorders, you may try some alternative methods that can you help you with this issue. For instance, melatonin supplements and relaxation techniques may be helpful when treating insomnia. Here’s suggested reading on the topic:

  14. Hi there,I’m 35 year old female who was prescribed Tramodol back in 2015 March, had surgery I didn’t want anything that would be addictive.My PCP put me on tramodol at 50 mg doses 3 times day. After surgery which was lower body lift I ended up with nerve damage pain,ended up in lot more pain and she put me on vicodin n tramodol together I didn’t like it and I asked just use tramodol cause it was strong enough for m so she increased my does age to 100mg every 8 hours been on that for bout year and half maybe lil longer.I didn’t take around clock if I slept I slept , it wasn’t like oh I have ha it. But I di notice I was so exhausts lately,no energy,increased anixtey and palpations which I do suffer from major depressive disorder n panic anxiety .I also had weigh loss surgery so she blamed the fatigue on that an put me on iron infusions,I didn’t feel better. I was getting no where trying figure out what is wrong with me. I don’t do any drugs just what prescribed and I take as directed. I did however notice soon after taking my tramodol I feel instantly better so I started doing my own research and was terrified of what I’ve learned about this awful drug. I was never aware it could be addicting ,I tried quitting on my own without my does help with fear of her cutting off altogether cause first time I grid stop cold turkey it was awful I felt like I had flu,low sugar feeling like I was gonna faint if I stood up. So here I am months later after researching myself and trying get off this awfull drug. I have pretty demanding job and take care of my disabled fiance so I can’t go into a detox center,I’m needed at home more than anything so outpatient is out question. I just need know a tapering method to make the symptoms not so bad,literally I feel like I’m dying and I don’t even abuse the drug,I take 2 50 mg tabs every 8 hour,although if I’m up I feel symptoms before next doe do,not all but if I’m just lying around I’ll notice it. Rich now I am 15 hours cold turkey and I just want one so bad to make feel better but trying so hard to no give in, I actually even threw them out the last few I had left but go to doc today to he a refill, I keep saying okay get it jus one every 6 hours then next week cut it, is that okay or not. Any info will help. I don’t want noons knowing,I can’t even believe this has happened to me, taking it as prescribed and was told its t safe one,yeah that was a lie.I think there docs out that that push it and should be accountable to all this . I never would took this drug if my doc would said he this is the truth bout it cause I was on 30 percicet when I had my tummy tuck in 2013 and Nevers any probms from that I used it for few days til I felt better and flushed the rest . Please help .

  15. I got hurt by my woredrops door to my finger and its hurt a lot so my uncle gave me the austell tramadol..I took two pills…in th a morning I could not wake up due to I was feeling tried sleepy weak..there hole day I’m in bed feeling tried…please help……….I want that drug out of my system help

  16. I’ started taking tramadol that was given to me by a friend 5 years ago. Since then I have been taking 100mg once a day. Is it safe to stop taking it cold turkey?

  17. I had knee sugery last June 7th. Got rx for tramadol 50 gm for one month I took one pill everyday I off for two noticed my knee more sensitive hurt I took it n it help I have two left pill I kind of scared stop taking that pill
    I don’t want go Thur side effect by aniextiy sleep trouble confused other what best start if happen to me Advil help ?? Or what please thank you for help

  18. I am Melanie and I have had several severe breaks from falls and that is why my doctor ordered Tramadol. The pain has subsided for now, the other symptoms like retraction and chills and drolling have occurred. I am going to start taking hot showers for these symptoms. I am 68. I am active and teach exercise and am a Activities Volunteer here at my Assisted Living Retirement Community and a steady friend. I cannot take many over the counter pain medications due to bleeding. I can only take 2000 mg of Tylenol daily. I suggest water implosion to take out most of the Tramadol in the system. I have psych support, however he is on vacation for three week. Melanie

  19. Hello everyone. I have taken Tramadol for over 5 yrs now due to pain from scoliosis in my lower back and from being in 2 very bad car accidents. Anyway I go through periods where I feel very tolerant to it, and it doesn’t help as much. So I try to tell everyone I know…if you are needing something to ease withdrawls, or need to take a break from it, but still need pain relief, buy Kratom. It is made from a vein in the leaf of a plant and is 100% natural. It works wonders, just look up Kratom and see which “strain” is best for you, since there are several different kinds. Also if you order it online, read the reviews to make sure you are buying from a good company, because some companies manufacture it very poorly and doesn’t help at all. Hope this helps!

  20. I have been taking 300mg of tramadol with Koftab-D daily for at least 1yrs as drug purpose. Seriously, I’m afraid that I may have damaged my kidney, liver, heart, brain-power etc by using tramadol-Koftab-D for 1yrs.
    Please Guide me for proper detoxification.Thanking you.

  21. Can I get a IV and sleep through this. My body is needing this crap 3 hours early now. And I want off this stuff. My withdrawals suck, I feel like I’m dieing I live in zip 46368 and disabled from a slip and fall accident. I’ve been on this sence 6/2014.

  22. You cant generalise. I took 200 mg IR and 200mg extended release daily for 18 months. I just stopped no withdrawal no misery. Nothing. Everyones body reacts differently to drigs. It just concerns me people will rrad the horror stories and keep takngcstuff as they are terrified of a withdrawal that wont affect them

  23. If you want to withdraw from tramadol, you have to talk with the doctor who prescribed you that, couse are some other meds witch can help you for same reason you take tramadol!

  24. I was on tramadol for 2 years! Took me 3 attempts to finally get off! I was able to minimize the withdrawals by tapering myself from 200mg over a 1 month period with the last week at a half pill! I’d suggest getting help from a doctor as RLS will drive you crazy as this was the reason for failure on my first 2 attempts! I was so upset with myself for letting drugs try a take over my life as I did not know nor did the doctor tell me this drug was so addictive! Good luck to all out there and wish you gods help with getting off this drug! I’m happy to say this drug is now out of my life! Forgot to mention that the doctor prescribed me Zanaflex for the RLS! Can’t say enough for this drug as this was what got me thru the final phase! Zanaflex is not addictive! Good luck!

  25. I am 63 disabled LVN who has had Laproscopic spinal herniated L3,4,5 discs repair with Titanium hardware including mesh support for my spine (2surgeries in Aug.2006) Was prescribed hydrocodone(outpatient methodone detox facility) Tramadol 50mg 2tabs/4 to 6 hrs and Ibuprofen 800mg prn. My straight Medi-Cal changed to Manged Care Program. Previous GP would not extend MEDS refills. Starting feeling withdrawal symptoms and Serotonin syndrome so I went to Urgent Care. Was seen by a PA that berated me for being an addict and gave me script for 30 tabs. That will only last 5-6 days and my initial appointment with new GP is not until April 14, 25 days. Is their anything I can do short of a visit to General Hospital ER? I feel like I want to die! The doctors (Orthopedic surgeon and GP) prescribed tramadol before it became a Schedule IV drug in 2014. Please help me!

  26. The instructions for withdrawal are for 10% reduction in dosage every week and then 20 to 30% reduction every three to 5 days. To bad this makes no sense. To what percentage do you reduce the dosage using the 10% weekly reduction before beginning the 20% reduction every 3 to 5 days? Sad.

  27. Hi, I have read somewhere that you can get an injection in hospital which takes a few hours and then you are clear, is this true?,

  28. My doctor had me on a dangerous tramadol, tizanidine, sumatriptan cocktail that endedicated up sending me to psychological ER then tried to “fix” the situation with buspar which sent me into severe hypotension with bradycardia after 4 doses. I stopped the buspar and she then had me cut the tramadol and tizanidine by 50% at the same time but the bradycardia and hypotension continue. I cannot take these drugs as I have naturally low blood pressure due to Ehlers Danlos Syndrome. I cannot take them today because I cannot bear the drops in BP and pulse rate. Help? She’s now just avoiding me completely so I am without any meducation care to help me get off these two drugs and must try to “soldier through” on my own somehow. I feel horrific and with the original pain and spasms returning in addition to withdrawal I feel like walking death and have become bedbound by symptoms and reactions. Help?

    1. Hi Tommy. Call the number you see on the website to speak with a trusted treatment consultant.

  29. I have been taking tramadol for the past 5yrs .6 capsult of 220gm per has really affected my potency n behaviors .pls how can I get out of this without docs help?

  30. Please help I’m just gone on a tapering progrmme to sort out my tramadol addiction I thought I could quit cold turkey but I don’t think that is a good idea as I heard it can cause seizures its a big step I’ve been taken them for 5 years recently in very high doses I came clean to my doctor about it and he and my pharmacy have worked out a tapering programme but I’m terrified as its two three times a day and I usually take up to 16 aday has anyone else out there done this and been successful thanks

  31. Determined, I suggest looking into kratom to get you through the withdrawals. It saved me a week of hell. Truly the best option to quit. No wd pain at all. Very mild other symptoms. It enabled me to quit and still function normally. Kraken kratom has many options. If red vein borneo isn’t available, I recommend red dragon. 4 to 8 oz should be enough to get you through. This has been used by many people to get through without feeling like you are dying. It’s recommended not to use it longer than a week. 10 days would not be a big deal either. I actually use it now for my pain as needed. I get the powder, mix it with water or grapefruit juice. 4 to 5 grams per dose is enough to rid you of symptoms and may even help you in the future with pain management.

  32. Hi. Ive been using 3-5 Percocet daily for 3 years. Ive am suffering from chronic foot pain. Ive tried to stop the percocets many times but I always used them again because of the wd symptoms. I’ve recently been prescribed tramadal 50mg 1x daily. I was determined to ween my self off of this Percocet addiction. I think that I may have done it. I used the tramadol to ween off. Every 2-3 days I took alittle bit less and I stretched doses for longer and longer time.(over a 2 wk period) Im on day 2 without any extreme withdrawal. symptoms. And I also stopped smoking at the same time.  A mild restless leg, syndrome mild nausea. I guess my question is am I out the woods yet?

  33. I withdrew from heroin addiction 45 years ago by going to a methadone clinic. They slowly build up the dosage so the cross-tolerance to heroin was so big that a $100 dose would have no effect whatever. When I wanted to detox, the dosage was reduced over a period of around 3 weeks, then I was off. I felt absolutely no discomfort. I’ve been living in Pakistan for the last 23 years, and I’m on Tramadol for about 5 years for spinal stenosis. I go to a pain management clinic in the military hospital, and we tried different drugs. Pregabalin is very effective. If there are still methadone clinics, I would think that would be the best solution.

    1. Hi Atif. Thanks for sharing your story and I’m really glad methadone worked so great for you. Kind regards,

  34. Im 23 and will be coming on 5 months total drug free after 6 years of 400-500mg tramadol abuse/addiction. for anyone who thinks it is not possible i thought that way too but their is light at the end of the tunnel if you can just grin and try to bear the detox/withdrawel (withdrawel lasted about 10 days for me then is dealing with the mental aspect such as cravings and triggers ect it took me about a month before i began to feel somewhat normal) , i was not as strong as some of you and had to go to a 2 month inpatient rehab, without rambling i will tell you what the doctors and nurses did to make my detox as comfertable as possible. it was an abstinence based program but due to the very real possibilty of seizures i was put on valium and clonezepam reducing the amount everyday for 5 days until it was 0, clonazepam =1 a day for 3 days abd valium 50mg with a reduction of 10mg everyday for 5 days all spaced out in atleast 4 hour intervels.. i reccomend giving a trusted person your medications and asking them to dispense it. YOU CAN DO IT!

  35. hi, I have been using tramadol for the past year for severe pain! I have also been on amatriptyline! I want to stop as I have previous addiction problems! wot is the best way to do it at home

    1. Hello Rebekah. It is possible to withdrawal tramadol from home, but it is usually not recommended. The best way is to do it under medical supervision.

  36. I have taken tramadol for 15 yea. The majority of the time I only took two 50mg tablets and now I’m on 50 mg tablet every three hours. Please also give me the answer of what is ten percent of what I am taking.

  37. If you need help getting through withdrawals you need to understand what exactly is happening in your brain. Tramadol withdrawal means that your norepinephrine and serotonin levels are drastically low. I have been through severe withdrawals lasting 2+ months after trying to taper down slowly. It is brutal! Take my advice, go to your local pharmacy and ask for a medication called Bronkaid. It is a vaso-dilator and it will supplement your norepinephrine levels and actually take about 90% of the “edge” off your symptoms. You can also try taking 5-HTP supplement pills to bring back your serontonin levels to where they should be. Other than that, I found that caffeine helped, drink plenty of fluids with electrolytres (i drank lots of G2 gatorade), and consider taking melotonin at night to help you sleep. DO NOT TAKE BRONKAID IF YOU ARE STILL TAKING TRAMADOL. This method only works if you are now taking zero pills everyday. I believe it can have an interaction if you were to take both at the same time. Good luck everyone!

  38. I had been having this headaches so I started taking Tramadol capsules 100-200 mg per day. I didn’t even know it was addictive until I realized a day without it would leave me feeling sick. It has been seven months and I want to quit, on my own. Please if you have any tips on how to avoid the severe withdrawal system, Help. Thank you

  39. I have been taking tramadol for a month and a half. I take 100-150 mg 2 times a day. I have 27 pills remaining and don’t want to get a refill. What is a good tapering schedule I can use to minimize withdrawl symptoms? Thanks for any help!

  40. Can I withdraw (from 400mg pd , over 9 years) , over 12 months without destabilizing symptoms as I live on my own with no support.
    have suffered from Fibrimyalgia and chronic fatigue for 15 years.

  41. So, I took 180 norco 10mg in 2 weeks. I’m so pathetic. I switched to tramadol. Big mistake. It’s been 9 days and I went through 170 of them. I really only wanted to use them to keep from experiencing the w/d from norco. What should I expect after taking that many in 9 days? Anyone? I’m terrified and I just want to get this over with.

  42. I work 5 days a week, is it safe to go through withdrawal?? I just want to be my normal self without the dependence of tramodol.

    1. Hi Lamanda. See your doctor about guidance on slowly tapering down. It will create less withdrawal discomfort, and you can treat symptoms using other prescription and over-the-counter medications.

  43. Thank you for your kindness. I just now happen to be going through Tramadol withdrawal. It helps to know Im not the only one. Im determined to do it this time.

  44. Try an ethnobotanical natural alternative called kratom. substitute gradually your tram dose, and within a month or two you’ll be free of this horrible dependence.

  45. I have used tramadol injection for some time and now I have started feeling that I should get the injection because it makes me sleepy and I get ride of many thoughts but am now scared it could be dangerous to health what should I do to stop using it?

  46. hi doc
    ive been taking about 4 to 6 pills of 100 mg tramadol daily cuz of my tail bone and im done with the pain and all is good but right now my whole life realy on these silly tablets how can i let go of it please guide me throw it i would pay wtv and do anything

  47. I have a terrible dry cough off and on all day long when I stop taking Tramandol. My ribs hurt from coughing. I took 50 ml 2 x a day, every 12 hrs. I suck on cough drops , candy, etc.
    Is this cough a symptom of withdrawal? If so, when does it stop.

  48. I have been taking Tramadol 50 mg. I take 1 tab each night for sleep. I have decided to wean myself off the pill. I have been taking it for pain and sleep for 6 years. I feel like it may be interfering with water pill and potassium. Can I quit cold turkey. I stopped the pill last night and experienced restless legs and could not sleep. Please advise if I should quit cold turkey since I am on such a low does. Thank you very much. I am 89.

    1. Hello Elaine. I wouldn’t recommend you quit cold turkey after using Tramadol regularly for six years. Withdrawal symptoms from quitting cold turkey can be adverse and severe. I suggest you talk to your doctor and create a tapering schedule together. You will need to reduce doses slowly and gradually to avoid harsh withdrawal effects, also other medication may be needed to treat these symptoms and help you get through this period.

    1. Hello Misty. I’d advise you to first seek your doctor’s help and opinion. There are many ways you can stop use, and your doctor can help you find the pace and manner that fit your individual needs best. Good luck!

  49. Hi, I am a nurse and have been taking Tramadol for about a year for back pain. I am now in PT doing much better with the pain, and I want to stop it. I have only needed it for work, I have been taking 100mg. Fri Sun Mon ( my work days). On Monday I tried 1 50mg tab and I had no back pain. How should I taper it? Thank you.

  50. If i can get away from a 20 year addiction so can you. Kratom WORKS. Try it with a taper and you CAN handle wd and pain. Good luck

  51. been taking tramadol for over 10 years this stuff is bad I tried to get off but to many withdrawals I take anywhere from 10 to 20 a day went to my doctor don’t think they know what to do any suggestions tired of tramadol controlling my life

    1. Hi Eddie. Your doctor can start to help you by creating a tapering schedule for you. The general percentage for dose decrease is 10% of your current dose for a week, then 10% off that dose the next week and so on. Then, your doctor can keep monitoring your health state during this period, and also prescribe medications or suggest OTC’s that can treat withdrawal symptoms as they occur. Good luck to you!

  52. I quit tramadol once, and withdrawal included hot flashes, nightmares, waking up in the middle of the night, even after a good or even a great dream, being scared out of my mind. And feeling like I had the flue.

    They all lasted for about two weeks and me never having done pain killers before didn’t really share this information with my GP as I thought I had the flu.
    Now I got them again after surgery and upon quitting yesterday the same symptoms occurred so I searched online, and sure enoughI found tons of websites listing this drug as one of the worst coming down from. With side effect ranging from all I’ve listed to about 18 more. And with the side effects lasting anywhere from 2 weeks to several months, some even having relapses years later.
    The worst side effects from those higher than 150mg per day.
    And side effects from those using 150mg or less for just a couple of weeks.

    If you look around, this drug will have the worst review of anyone taking it and every one commenting on it will tell you to never use it.

    As for me, I now have weeks or months to feel the side effects while working a full time job and being with my wife and kids, oh joy

  53. What’s the best way to get off 100mgof tramadol a day I’m scared about going through withdrawals if i lower my.dose and we ne myself will that help?i have so much going on in my life with work i don’t hsve time to get sick but i don’t want to depend on this anymore….

  54. This is for a friend. But Trama dull, when you suggested Kratom & Lyrica or gabapentin? after you wean off tramadol completely, can you get addicted to any of those medications? or is it easy to stop? I have had rough time with my bf, who is on tramadol addiction, has been able to wean off to 9, but is no negative. Not the person I knew and also depressed. So thought and researching what is best way. I have seen him pass out when he was taking prozac & tramodol together. He won’t get help, so is now trying to wean off.

  55. Hi, I have been on tramadol for the past 2 years prescribed by my doctor. 2weeks ago I went for my monthly check up and to get my doctor then decided to notify that he was no longer taking masshealth patients. Every doctor I’ve called is booked until Feb!! I just ran out of my tramadol and I’m experiencing withdrawal symptoms. I have absolutely no energy at all to top ot off. what should I do???

  56. After 20 years of daily heavy use of this and muscle relaxers, the only thing that worked to break the cycle and deal with withdrawal and pain was kratom. I am now tramadol/medication free for 3 months and forevermore. Please try it and save yourself.

  57. Hello Cassie. Hang in there! I’d suggest that you seek a second opinion for the original symptom (headache) and the development of possible addiction. You’ll need a full assessment and diagnosis…but help is out there! Outpatient clinics will help you understand the mechanism of drug actions, how we get addicted, and what to do about it … and aren’t too expensive. My best to you!!!

  58. Hi my name is Cassie I’m only 21 years old. A year ago I went into my doctors office with just a bad headache and he prescribed me tramadol. I was never aware of the high risks of this drug use and terrible nightmare living withdrawal symptoms. I can’t live a normal life without being on tramadol, after being such a healthy person now I’m always in and out of the hospital for withdrawal symptoms. I’m scared, and confused. I feel like I will never leave this drug and at times I even think suicide is the only option. Please help!

  59. My name is abdul. I am addicted to tramadol for a 8 years now I cant leave this tramadol because when I am going to sleep I cant sleep too much pain in my legs at the time of sleeping. I cant sleep till the morning at the end I have to take tramal 50mg tab. Then I sleep well. I also tried to reduce the tramal but it’s not helpfull for me. Kindly give me suggestion how to withdrawl from tramal or give me an alternative medicine to kick tramal. i am too much disturbed kindly help me. Thanks.

  60. Have been taking tramadol for approx. 8 months have only taken 100 mg per day each evening when ga. declared it a narcotic may the 1th was then I found out I had a problem tried to go cold turkey went 4 nights no sleep went to doctor started back on it. was taking it for knee pain, had knee replacement and they told me to stop taking it well that didn’t work either no sleep and pain from knee replacement did have hydrocone for pain I am now trying to taper off it have lorasephm and now have clonidine as of today not working very well tonite as to the fact it is 4 am.

  61. Hello,
    61 years old, I live in Europe and have been on Tramadol (liquid, drops-pump) for the last 3 years. Most of it without medical supervision.
    I like the relaxing effect; I actually don’t need the pain-killing effect anymore.
    The amount I take is fluctuating. When I reach a high (up to 2,500mg/2,5g per day) I feel i have to make an effort to reduce, and usually manage to gradually go down to 2 or 300mg per day, with some withdrawal effects. I never stopped totally in these 3 years, but I can stay on 2-300mg for longer periods.
    Looks like I have developed an addiction …
    I also take Urbanyl on prescription to treat a light form of epilepsy I have had since I was a child.
    I’m an alcoholic, who stopped drinking back in 1986. Never had a drink since then, with the help of AA. I keep in touch with the program by reading daily thoughts, but very seldom go to meetings.
    But I can identify my relationship to Tramadol, in some ways, to the one I had to alcohol, before I stopped drinking 28 years ago.
    I’m confused, because I (falsly??) think that I can keep on like this, and my past experience tells me it is not possible. I’m probably not honest with myself.
    What’s the way to handle this?
    The answer is probably in my above comments, but I would be overly happy to be able to share…

  62. Hi I’m currently hooked on both tramadol and 30/500 co codamol, just booked an appointment with the doctors after a bad day yesterday, any tips or help appreciated

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  87. Hi you all

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

    Can I simply replace part of the dosage with Kratom ?

    Thanks for all the advice.

I am ready to call
i Who Answers?