Tramadol withdrawal symptoms

Tramadol withdrawal includes typical withdrawal symptoms such as runny nose and muscles aches. But in 1 of 8 cases, symptoms are atypical. Who’s at risk of these symptoms which affect the central nervous system? And what can you expect during Tramadol withdrawal? More here.

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You can become physically dependent on Tramadol.  Even after taking Tramadol for a few days!  And if you stop taking Tramadol suddenly, or lower the dose too quickly, you can experience symptoms of withdrawal.

Most cases of Tramadol withdrawal present withdrawal symptoms that doctors expect. But some Tramadol withdrawal symptoms are atypical of opioid withdrawal syndrome. We review the differences here.

Tramadol and low risk of abuse

Opioids have been used for many years to treat pain and either come from the opium poppy or are chemically related to drugs made from opium. Tramadol is a formula that is much weaker than other opiates. In fact, Tramadol has about 10% the potency of morphine and is generally not taken recreationally. Although Tramadol euphoric effects are possible, they can be almost imperceptible in most people. So, with such a low risk for abuse, Tramadol is frequently prescribed.

When does Tramadol withdrawal occur?

Many cases of Tramadol prescription are written for short-term use or short term medical conditions such as postoperative pain relief. In another case, Tramadol used for opiate withdrawal can benefit opium or heroin users wanting to quit. Additionally, Tramadol may also be prescribed for the long term management of chronic pain. And it is these users who generally go through withdrawal.

Withdrawal symptoms occur when you lower doses of Tramadol, or stop taking Tramadol abruptly. Slowly tapering off Tramadol by slowly lowering doses may help relieve these symptoms. But what kind of symptoms can you expect? And who is generally at risk of experiencing atypical symptoms?

Tramadol withdrawal symptoms

In most cases, Tramadol withdrawal symptoms manifest as classical opioid withdrawal symptoms. Withdrawal symptoms are more commonly associated with chronic Tramadol use, but may also be experienced if you’ve been on Tramadol for less than a few weeks, even as little as 3-4 days. Furthermore, the majority of Tramadol withdrawal cases occur at or below the maximum recommended daily level of 400 mg per day. Opioid abstinence or withdrawal syndrome is characterized by some or all of the following:

  • abdominal cramps
  • anorexia
  • anxiety
  • backache
  • chills
  • diarrhea
  • dilation of the pupils
  • increased blood pressure
  • increased heart rate
  • increased respiratory rate
  • insomnia
  • irritability
  • joint pain
  • muscle aches
  • nausea
  • perspiration
  • production of tears
  • restlessness
  • runny nose
  • vomiting
  • weakness
  • yawning

Atypical Tramadol withdrawal symptoms

The primary distinction between typical and atypical withdrawal from Tramadol is that atypical withdrawal has a strong component of other central nervous system disturbances not usually observed in typical opioid withdrawal. These symptoms occurred in about 1 of 8 cases of people who stop taking medicine which contains Tramadol (Ultram) and seem to be connected to dosage. In other words, atypical symptoms are more likely when you take more than the 400 mg per day recommended level. Furthermore, these types of withdrawal symptoms do not normally occur in other cases of opioid withdrawal, and seem unique to the drug Tramadol. Some documented cases of atypical withdrawal symptoms not normally observed in opiate withdrawal include:

  • confusion
  • extreme anxiety
  • hallucinations
  • numbness in one or more extremities
  • panic attacks
  • paranoia
  • tingling in one or more extremities
  • unusual sensory experiences

Tramadol withdrawal symptoms questions

Do you have questions about Tramadol withdrawal symptoms? Or maybe an experience to share with us? Please write to us and fill in the comment box below. We are happy to answer questions or respond personally to your stories.

Reference sources: FDA warning for Ultram
Physical dependence on Ultram (tramadol hydrochloride): both opioid-like and atypical withdrawal symptoms occur
Clinical pharmacology of Tramadol Clin Pharmacokinet. 2004;43(13):879-923


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.


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  1. Was only taking 100 mg. Tramadol in the morning. Cut down to 75 mg for one month. Then cut down to 50 mg. for three months. Started feeling cupping and suction in right ear. Then one day my low grade Tinnitus volume increased 3 times and has been this way for almost a year now! Can’t find any help. I’ve seen 7 different doctors that all say there’s nothing I can do about this. Extremely frustrating!!! Any suggestions?
    Thank you for responding.

  2. What are the “unusual sensory experiences” you listed in atypical tramadol withdrawal symptoms? I have experienced a sensation of a pulse-like sensation with a noise in my head. It reminds me of the sound used in the Friday the 13th movies. A decrescendo rushing sound, usually in 3 or 4 repetitions. Closing my eyes will cause his to diminish or stop but there are no visual symptoms. The further away from the last dose of tramadol the more marked this becomes. Also, I’m wondering if the withdrawal is triggering restless legs.

  3. I didn’t see anywhere in this report that tramadol is actually an opiate AND SNRI anti depressant. SNRIs are much, much harder to quit that opiates. I know, I had to taper an SNRI for 3 years because every time I tried I had horrendous withdrawal that had me in the hospital havinf scans and tests for brain tumours or bleeds. I took effexor for 12 years. Along with that I have taken tramadol and now struggle to quit that too, even though I onky ever took one dose at night. I went from 100 to 50, and now tapering that tiny dose because of wthdrawal. I open the capsule, mix it with water and reduce by 3% . It is a terrible drug to quit.

  4. I have been on Tramadol since 2009 and have reduced them to 2 x 50mg tablets down to none and have now severe withdrawal symptoms. I am not able to get an appointment for the doctors until Monday but fell I am not able to wait that long. Could I go to A&E and lt them know my symptoms.

  5. I had hip surgery on March 22nd. When I got home from the hospital I was given a script for 50mg Tramadol written for 1 or 2 every 4 to 6 hours. I never took more than 1 at a time. Originally I took 1 tablet every 6 hours for about a week but found my pain was not under control so I changed it to every 4 hours until about April 7th. That helped with the pain and around April 8th I changed my dosage to 1 tablet every 6 hours. My pain has been getting better and I have wanted to reduce my dosage. So around April 16th I started1 50mg tablet every 12 hours and did that to around April 19. Again, my pain was under control so on April 20th I decided to stop taking it altogether. I have experienced strange sensations and it has me worried. My primary care doctor says its OK to stop cold turkey but I don’t like the feelings I have. I am 81 years old and in fairly good health, although I have quite a few chronic conditions, such a diabetes, vascular disease, high blood pressure, etc. But all of these have been under control for a good number of years. Can you advise me?

  6. I have been hooked on tramadol for over 20 years. I usually average more than 30 to 40 , 50mg. Pills a day. I will usually take more if I have them. It’s tearing my life to up. Tried to stop more than 100 times. But can,t get passed the 2nd day. It’s horrible. If anyone has any tips please let me know. Message me..

    1. Hi Paul. I suggest that you call the helpline displayed on the website to get in touch with a trusted treatment consultant.

  7. How long can you expect to have symptoms?
    Is it possible that you can have digestive issues for 1-2 months still after you stop taking the drugs if you took the drugs for a few months/ years?

  8. My husband gets 90- 50 mg pills, every month, he takes them sporadically, sometimes one, sometimes 2 at a time, every few hrs., then just stops for a few days. During the off days he gets really irritable and yells and throws things. I think it intensifies because he’s got an addiction to these pills.

  9. I have been on 300 mg of tramadol for about 5 years now. Doctor also has me on 8/2 mg of suboxone. The last visit I went to he stopped the tramadols completely. I am afraid that now I will go through withdrawls. Was told that I may have been taking it and not getting any relief from it due to suboxone blocking the opiate. I can’t understand why he would have given me this for so many years knowing I was addicted to hydrocodone. please help and tell me if I should go see another doctor or just stop taking them and hope for the best. I fill like suing the pants off of him and the drug store for not catching this. It is for sure medical negligence. Thanks

  10. I slowly weened myself off antidepressants. Then I decreased my 100 mg/day to 50 mg/day. After a few days I started hearing a humming in my whole brain and felt ‘brain movements” accompanied with “chung” noises. I wonder if this is only from the Tramadol removal or the combo of Tramadol and Venlofaxine removal. This slowed down as time went on but still happens a few days a week. Will this ever stop? I still need to stop the other 50 mg/day too. These reactions just seem to be way too much for my situation!

  11. Hi. Took one dose or 50 mg. Had been given two doses of endep in hospital prior. Seem to be having random recurrant anxiety and now 4 days later. Is this normal? Coyld this be withdrawal?

  12. I have been consuming tramadol for more than a year now and usually consume 1000MG a day everyday. I have now gone 2 days without consuming any and the withdrawals is just moving on from worst to worst but thank God my family is with me in the process. I know deep inside that if I stay for two weeks without consuming it, am going to be free from the shackles of it. The idea that I have to lean on drugs to live my life scares me a lot and I just can’t go on like that anymore. Today is the third day and the anxiety and restlessness is the worst night mare. I was rushed to the hospital this morning and giving some tips to move on.
    The doctor advised me to eat as much as possible and to take enough fruits for vitamins sake. My hope is strong now and I feel much more better. I know I can win this battle with God by my side.

  13. After taking tremadol for a month it’s bad getting off of it, sneezing, dry mouth and dry cough, frequent urination, restless leg and arm, irritability, only day two and I feel like crap

  14. Is it possible I took 4 pills of tramadol in between 2 years 50mg and I stopped them now I have body aches and feeling weak is it normal

  15. I am a 71 year old female with severe bouts of arthritis. I had successful gastric bypass surgery 15 years ago and am now a normal weight. But the surgery left me with an inability to tolerate any NSAID medication. I have been using about 150 mg.of Tramadol for several years, sometimes with Tylenol and it has been effective in controlling the pain. Occasionally, I have taken just 1/2 of a Vicodin at night for painless sleep. Every single physician has a different take on these meds. Some will prescribe them and some are dead-set against them. The current opioid addiction fears have left many of us who are Seniors frustrated and confused. These are (and should be) controlled substances, not banned. Thanks to all of you for the warnings and good information about withdrawal.

  16. I’m experiencing withdrawal symptoms similar to Irritable Leg Syndrome or (similar to kicking) and a painful stress on both my legs, which wouldn’t allow me to sleep at night,
    Since I was away in a foreign country I could not renew my prescription and suffer this experience,and flushed face with a high blood pressure.
    I haven’t read any withdrawal stories in the literature about this debilitating leg pain.

    Anyone ever had this particular experience regarding this leg pain ?


  17. I had my leg lobbed-off, & had to go to another hospital for plastic surgery. November 2015 put-on a concoction of drugs, mostly vitamin & phantom pain types. Two weeks ago I had an appointment with my hospital prosthetic Consultant in Rehab. Medicine. I wanted-off some of those I was taking, but without asking, I was told to stop the Paracetamol(!) &, 1st week, reduce Tramadol from 2x50mg 4x’s a day, to 1x50mg 4x’s a day, then 2nd week 1x50mg 2x’s a day, yesterday, stop……..I’m now ‘enjoying’ some of the experiences I have been reading about……I only came to this site, because I wondered if I were having withdrawal. I’m just so tearful, for no apparent reason, ache, can’t sleep, not hungry, feelings of indigestion, flu symptoms (I was feeling these, to a lesser degree last week, but took no notice= all have ‘up’s & downs’); still, not as bad as some of the victims I’ve been reading about. I assume it will get worse, as this is only the second day; (there I go with the negative vibs!). Think I’ll try a beer or two, which would probably be against doctors orders………but from the above contributors, what do doctors know?! Best of luck on your journey people, & [slurp], cheers.


  19. been on 150 mg tramadol for 12 yrs for chronic back pain ran out last week called in a refill but its been 8 days without, extremely weak headache joint pain lightheaded constant mild headache not sure if this is with from lack of tramadol or a flu bug i get up and feel ok for about an hour and then it sets in

  20. I’ve been on tramadol for about 3years I had four pills left Sunday so cut down now getting withdrawal symptoms feel like I’m flued up ticking in throat.diarrhoea sickness .keep going hot and cold how long will this last I’m not due to get more pill till Thurs (even tho I want to come of them)

  21. I was on 50 mg tramadol for about 8 months taking two a day, I have
    been in withdrawal for fours day how long will it last.

  22. I’ve been on tramadol for six yrs after a car accident in January had op on my shoulder which has reduced my pain 100% so now am trying to get off the tramadol was on 400mg a day now on 100mg twice a day finding it hard but am going to get off them any ideas where I go from here do I just decrease slowly or jump off

    1. Hi Marissa. Gradually lowing the dose is a safer way to quit it. I suggest you consult with your pharmacist or a doctor to help you create an individualized tapering schedule.

  23. I’ve been taking 300 – 400mg of Tramadol for 3 years. I suddenly stopped. My last dose was 50mg 62 hours ago. I did not wean down. This happened only because I wasn’t able to pick up a script when I thought I could. So, my experience with withdrawals are: weakness in, felt everywhere in my body, irritability, decreased appetite, cold chills and hot flashes, diarrhea, sneezing, and what also has been spooky for me is my blood pressure. I constantly hear like swishing in my head which last for about a second or 2 . I must tell you that I was of course desperate to try and relieve some of my symptoms so during the first 2 days of withdrawal I drank a few beers and smoked very little marijuana which both I never liked or had a problem with. It helped a wee bit, basically for the irritability. So here I sit knowing that I need to continue with my withdrawal so I can be feel free and “normal” again, but tomorrow is the day I can pick script from the pharmacy. My rationalization is that I read a lot stating that it can be very dangerous to just suddenly stop the Tramadol. I will do my best to wean down and eventually stop. The way I feel right now, I’m thinking a 50mg -1 pill in the morning and evening will be enough to start the wean. My willpower and spirituality will be greatly tested.

  24. I have been on Tramadol for five years for severe back pain, my doctor has closed his practise and one month away from seeing my new doctor. my prescription had ran out so I went to the walk in clinic to have it renewed until I saw my new doctor. I was treated like a drug addict and told by 2 walkin clinics and an emergency dept that it is their policy not to renew narcotics. Frankly I never knew it was a narcotic or that it was addicting. I have been without the Tramadol for 4 days now and I am so sick, and in so much pain I could cry. The pharmacist even made a print out to show the walk in clinic how long I had been on it and what it was for, but it did no good. Their policy is there policy they said. I know there are some who abuse the system, but the ones that do not, should not have to pay for it too. What can I take to relieve these symptoms I have to work and I have to function, Aleve and Tylenol are not doing anything for me. thanks

  25. I have been taking prescribed tramadol From my doctor and taking Tramadol least five years for serve back pain I don’t really do know that I’m addicted to them I am going through A Withdrawal how long does it that’d to post

  26. Hi I have been on tramadol 150mg slow release twice a day 300mg plus 50mg quick release due to a car accident 7yrs ago have just had surgery on shoulder and have started decreasing dose on my own already down to 200mg but finding it hard should I seek medical help with this or just carry on thanks

    1. Hi, Marissa. I suggest you speak with your doctor to help you create an individualized tapering schedule. Also, you may consult with a pharmacist to recommend home remedies, teas, and over-the-counter medications to ease withdrawal.

  27. I was on 200 mg tramadol a day for 6 years to treat RA. I moved and my new Dr only has me on 100mg I feel these withdrawal effects could it be the abrupt lowering of the dose? thanks.

    1. Hi, Ashley. When somebody lowers the dose abruptly, there is a huge chance to start experiencing withdrawal symptoms. I suggest you speak with your new doctor about these symptoms.

  28. Help ! Ok I’ve been taking 20 50mg per day for about 2 years , desperate to get off them , went to c my doc a few weeks ago she has given me 56 50 mg to last a week , I can’t cope this is hell ! Cramps , anxiety, the worse tingling sensation all over my body , headaches and the usual paws ! I’m at the docs Monday for my script ( feel like a junky ) what can any one suggest I can ask for ? I can’t cope on 8 a day ? I have a good job working with the public and even if she put me on methadone I really wouldn’t care despite the risks to my job,

    Any advice would be great

    Thanks Lisa

  29. ive been on tramal for over 10 yrs.
    I have 100 mg daily. Sometimes 2. That’s about it any more and you just feel heavy and a bit slow.
    My reason is I had spinal surgery and tramal works good for any pain I get,Sometimes having two or more regularly can keep you going at work but it’s hard. Coming down is s bitch, if I forget to have my tablet my body starts telling me I need it Damn leg twicths. Cold turkey feeling. Can’t sleep Very snappy. Smoke cones to help but it’s hard to sleep Restless for about two days but come good after a while , it’s strange being addicted but each time your injury flares up again. Chronic Pain wins every time so back on it I go knowing how it’s going to affect me. So every day use for years while working for me has worked out. Most of the time on tramal with medical Mary buy my side. You can get addicted and you can come off it. So. It’s not so bad I think it’s time for my medicine

  30. I thought I would answer the question about how long withdrawal symptoms last since it would have been very helpful for me to have known when I quit taking Tramadol. I had symptoms for 5 to 6 days. I didn’t realize that I could have withdrawal from this medication and didn’t figure it out until 24 hours after taking the last dose. Had I known withdrawal would have lasted that long, I would have started taking it again and tried to wean myself off. I really thought it would only last a day or two. My doctor would not acknowledge that withdrawal was possible with this drug since he had never had a patient complain about it. He still doesn’t believe me.

  31. I starting taking tramadol for migraines and fibromyalgia and I have been taking it for years I ran out and I have been back to the doctor because I want to stop taking them since I haven’t taking any my legs have been hurting is that a withdrawal one of the withdrawal symptom? what should I do?

    1. Hello Cheryl. Yes, it’s a withdrawal symptom. You should considered home remedies like teas, hot baths, massages, etc. Also, consult a pharmacist, and try some over-the-counted medications. But, if your situation gets worse, seek medical help.

  32. I have been taking 50Mg Tramadols, one in AM and one in PM for about two months for back issues. I had a steroid injection which improved my pain level a lot, so I decided to stop the tramadol, but knew that I needed to taper the dosage. I first considered taking 1/2 pill each in AM and PM to start, but seem to have some symptoms, mostly an increased heart rate. Is this too much taper to begin with; perhaps better to take 3/4 each in AM & PM. And how long should one take the tapered dosage before tapering further? This may vary from person to person, but wanted an opinion. Thanks!

  33. Im taking 2/375 3 Times Fly for 3 years can’t go 8hours without taking them going through serious withdrawals. I broke 2 vertebrae in 2011 any suggestions on how to get off them.

  34. I’ve had shoulder surgery on 24 July and was given 50 mlg tramadol I’ve stopped taking it 2 days ago in the day I’m am fine but at night I him experiencing weird feelings in my feet what do you think this is maybe restless feet ? If so how long will it last because it is driving me crazy

  35. Only took tramadol for four days post surgery, 200 mg per day and I’m having the Symptoms of withdrawal including a handful of the atypical symptoms. How long does the withdrawal last? I am almost to 72 hours without any tramadol. I did not Wayne because I had no idea there could be a potential issue with withdrawal. Please advise!!! Thank you. I’ve been going insane!!

  36. I was on a very low dosage for a very long time. Tramadol with generic Tylenol..dosage of tramadol was 37.5 mg….I usually took one pill a day….sometime 1 and 1.5…very – very rarely two pills a day. A couple months ago I developed unusual symptoms…very loose stools – sometimes explosive and nausea. GI doc found nothing wrong but thought I was having minor withdrawal symptoms each day from the meds! (I usually took my one pill around 2 or 3 pm) Symptoms would be in the morning and early afternoon until I took another pill…all symptoms then stopped…only start again the next day. This had gone on for a couple weeks (which is why I went to see the GI doc). I have IBS but this felt different. Just the idea that my body was starting to withdrawal each day from that one pill freaked me out and I stopped completely. The digestive stuff has finally settled down…it’s been almost 4 weeks. But the last several days I get dizzy if I bend over or move too fast and my head feels kind of weird. I do have bouts of anxiety too… Is this part of coming off the drug? I was really surprised that this low dosage could cause this after all I read about it.
    Thank you!

  37. I won’t bore you with my long history of chronic pain but I have needed to take narcotic painmedication for 16 years. Even though I don’t abuse my medication I am of course dependant upon it. It doesn’t happen often but a couple times each year I have found myself a few days short of my meds, like once I couldn’t get in to see my doctor on time, or because of severe weather , things like that. The withdrawal is so bad I don’t think any one could ever understand unless they’ve been through it. My other health problems are very serious and I fear if I ever go through WD again I wont survive it. My question is : would it help to take ultram on these occasions? WILL ULTRAM RELIEVE THE WITHDRAWL SYMPTOMS FROM OTHER OPIATES? Please answer Addiction Blog people and any one else who has tried to get through WD with ultram. Thank you for your help.


    1. Hi Venus. Which pain medications are you prescribed? I’d suggest you talk with a pharmacist about using Tramadol in such specific moments, but I don’t believe it will be able to do much except for mildly lower the intensity of the withdrawal symptoms. But, still, running out of meds is a very abrupt way of stopping and the effects are harsh.


  39. Please tell me the correct way withdraw from tramadol. I have been taking 150. Mg a day x several month, and I want off

    1. Hi Lynn. The most safe and recommended way to come off tramadol is by tapering doses. A slow and gradual taper can help minimize the withdrawal discomfort and have your boy go through much less stress during the detox period. Doctors need an idea of how much your body has developed need for tramadol before suggesting a tapering schedule. A safe taper is considered a 10% reduction every week and then a 20% reduction every 3 to 5 days. To decrease any more then this can be dangerous and you will be more likely to experience severe tramadol withdrawal symptoms. You will also need your doctor’s help to get the right medications that can treat some withdrawal symptoms as they occur.

  40. I’ve had an addiction with tramadol for awhile. I just found about 100 50mg pills. I’ve taken all of them in about a week.. I’m sure I’ve taken more than 450mg a day. I’ve had a runny nose, sore muscles and severe depression. I’m scared a night have seretonin syndrome but don’t want to go to the hospital.

  41. i stopped taking tramadol slow release 200mg, lfor one day, and had a rough night, the most concerning issue was that i noticed that i was sweating profusely around my trunk,particularly lower back area,and also i had strong ringing in my head, which was exascerbated by a kind of thumping sesation whenever i concentrated

    1. Hi Russel. If you are taking a medication regularly for some time, any dose decrease or sudden cessation of use can lead to withdrawal symptoms which resemble what you experienced. It’s never advised to simply stop using a medication. If you are thinking of it, it’s much better and less severe if done with a gradual tapering of doses and medical help if needed.

  42. I was taking Ultracet for joint pain but my doctor became concerned that it was adversely affecting my kidneys. So, he took me off it. Then, my blood pressure went up significantly. Is higher blood pressure a withdrawal symptom with Ultracet?

  43. Hello Edel. You need help and support to quit you addiction, and I’m glad you are aware of it. Your doctor or general physician can be your first point of contact. Depending on the doctor’s assessment, you will then have to follow a tapering schedule to minimize the withdrawal symptoms by gradually reducing doses, or you will be referred to a detox clinic in your area for a full medical treatment. After this is done, you will have to attend counseling meetings or sessions with a psychiatrist to address the psychological aspect of your addiction. Of course, you’ll also need to find someone to be looking after your children until you get better. But remember you need time to focus on yourself, so you can be a better mom to your children. I wish you all the best and Happy Holidays.

  44. Hello. I’ve been taking Ixprim for one year for pain. My pain went away but I continued to take ixprim because I couldn’t bare the withdrawal symptoms. I have been taking 12 a day. I am now on a weaning on process that my doctor as done out for me but I can’t do it. I’m am so tormented I don’t know what to do . Besides from physical dependency I am mentally dependent also. I’m a wife a mother and I work full time. My life is very hectic and the thought of not taking these pills frightens me but what scares me the most is not been able to stop. Every time I take o e now I just start to cry because I don’t want them . I want to feel normal again. I want to be a proper mummy for my children. What damage have I done to my body. I’m so frightened. Please can you help me in some way?

  45. Hello Chris. Throbbing is very annoying, I understand. You can try laying on the floor and elevating your legs on a chair. Use a hot pad, or put your blankets into the dryer and cover yourself while they are warm, or use an ellectric blanket. Epsom salt baths can be of great help, or hot baths in general. Another advise I have is to take magnesium. I hope this helps. Stay strong!

  46. I have been taking 300 mg. of tramadol for about 10 years. I am currently weaning off. I have reduced my daily dosage by 50 mg per for two weeks at a time. I am now down to 150 mg. per day. The problem is that when it starts to wear off it feels like every nerve ending in my body is throbbing. I take an advil about 2 or 3 times a day. It seems to help. Is this throbbing normal to withdrawals? Is there anything I can do to stop it? How long will this horrible feeling last?

  47. The only thing that will help withdrawal is to be weened off this medication over time. As I said going cold turkey on your own can kill you. There is a very very good chance you will have a seizure and that is a fact. Read the small print on your medication. It has also been known to cause heart attacks and strokes. Yes physicians don’t take this serious and will treat you like crap when you tell them you are addicted to it, but just remind them that a doctor put you on it, and if you have a seizure you will sue if you live through it. Nothing else works go to the nearest rehab and tell them your story, I did and they got me off them one day at a time, and that was a lot of pills to ween off of. Thank you.

  48. There is not enough area here to write all I can. I was put on this medication a little over 20 years ago. My doctor said he was putting me on a new drug that managed pain and was addiction safe. Little did they know then. He wrote me an open script and after taking it I found it does give euphoria feeling, and got rid of my depression while taking it. Regardless I have been taking this since that day minus the 2 years I was in treatment and prison for it. The withdrawal is intense, just like heroin withdrawal. You kick, cry, scream, vomit, your body hurts, basically you want to die. After my doctor would not prescribe it any longer I went through the withdrawal for the first time in my life. I would have blown my brains out it was so bad. I forged scripts to keep from going through it and drug seeking. That is what got my put away. When I went to treatment for the first time, they had to call the makers of it and find out how to get me off of it without killing me. You CAN NOT GO OFF IT COLD TURKEY YOU CAN HAVE MASSIVE SEIZURES. They told them to ween me off of it a little at a time. Buy this time I was taking around 40 to 50 tablets a day and that is not a lie. I was deep into it. I don’t know what kept me from over dosing? I have been through treatment four times. I was put on this medication because of a a back condition that can not be fixed. I live in horrible pain everyday. I have had five major back surgeries, two debriments from gangrene, staph, and infection of the bone. The university of Iowa wanted to write a paper up on me since I was the first and only case they had ever dealt with or heard of. Since then there are a lot. They say it is synthetic heroin and you better believe it. You will find out why they call it kicking the habit. I would not wish this on anyone. Not just the pain from withdrawal, it ruined my life. I had never been in trouble in my life with cops. It taught me to steal, lie, cheat, and con everyone around me to get it. I took myself away from my two girls for years because I was selfish and only thought of me. I was very lucky that they forgave me and we had a long long time to trust again. I would write more but you wouldn’t believe what I did to get them. I cut my arm open with a piece of glass had 19 stiches teeth pulled, etc to get it. And that is just the tip of the iceberg. I had to write this after seeing a book that was written by a guy that was on it for three years and thinks he is a authority on it. LOL No way!! I am though and didn’t want to be. But you don’t wake up one morning when you are little and say I want to be an addict when I grow up. If anyone needs help and or someone to talk to get ahold of me anytime. Take care.

  49. I’ve been on Tramadol for 6 months due to a back injury. Usually I took 2 50 mg pills 2x/day. I only took it “as needed” but at least one dose each day unless I was having a procedure done. It didn’t take away the pain, but made it more tolerable. Since it also tends to make me unable to concentrate (and, therefore, to work or drive or anything that would allow me to return to ‘normal’ life), my doctor suggested that I try switching to another medication that doesn’t give the spacey feeling to see if it does anything for me. By the end of the first day without tramadol, I had pain all over, feeling hot/cold, low-grade fevers, occasional sneezing fits, & insomnia. I gave in & took it the next morning. I waited a few days & I’m trying again, but having the same problems. If these are withdrawal symptoms, how long can I expect this to last? I’m hopeful that I can wait this out, but it will help if I know how long this is likely to continue.

  50. Hi everyone–I have a temporary aid for tramadol w/d symptoms–immodium ad. The ingredient loperamide relieves symptoms, but you need to take about 5 to 10 times the required dose for relief. I hope this helps some of you; it has helped me in the past greatly!

  51. about 5 years ago my doctor put me on oxycodone for pain & as long as i took it the pain was managed. then i could no longer afford to go to this doctor and he refused to write any more refills. i went through withdrawals for 3 weeks, the worst thing i’d ever experienced. after i was over the withdrawals i was still in pain from arthritis, back, & deformed feet. when i was again able to go to a doctor to get on something to manage my pain i was adament that i did not want oxycodone. she put me on tramadol 50mg up to 300mg/day, saying this was a better and non-addictive drug. most days i was able to take 100mg when i woke up and 100mg before going to bed. if my pain was bad during the day i would take the other 100mg. well, to make a long story a bit shorter, i took my last 100mg friday aug. 1st and friday night after sleeping perhaps an hour, i was awake tossing & turning, legs pumping, arms flailing. by 3:00am i could take no more and got up, IN PAIN. i tried to lay down sat afternoon as i was exhausted but sleep would not come to me. it’s now 11:00pm sat night. i laid down at 8 but was back up at 10 without falling asleep. i realized as i was getting up that i was feeling the same way i had when i withdrew from the oxycodone. but this is the better non-addictive drug, right? bull pucky(pardon the hillbilly). all day i have been in pain. what can i take? hopefully my trams will be in the mailbox monday at noon. but that means no relief sunday or monday till i get home from work. a 58 year old man should not have to go through this. thank you for listening to my rants, god bless

  52. I have been taking tramadol for five weeks due to a motorcycle accident. I have tried to stop taking it but feel sick to my stomach and very weak and shaky. I’m not sure if it is withdrawal or not. Could someone please tell me how long I can expect to feel this way? How long does withdrawal last?

  53. Hi, I was on between 200 -400mg a day for a back injury and post operation. I’ve slowly reduced and I have been clean for nearly 2 weeks. I experienced some withdrawals whilst reducing but since I’ve completely stopped I’ve had some issues and just wanted to know if it’s connected to the stopping of Tramadol. I had 3 days of continuous vomiting and diarrhoea, which I thout had stopped but I still keep vomiting every now and again. My sleep is very disturbed with very vivid dreams. I have no appetite and most of the time I feel nauseous and get stomach pains when I do eat. Im also sneezing…alot! Is this any connection and if so, how long do you think it will last?

  54. Hello arthur. I’m glad you are begging your journey and have decided to quit. Tramadol has a harsh withdrawal, as you’ve experienced. You can call your doctor or general physician for help and monitoring during this period in time. Just to be sure and safe, doctors assistance is recommended, they can provide adequate medical assistance if needed, advise and asses your medical state, perhaps even prescribe some medications to help with the withdrawal symptoms.

  55. Hi, I have been taking tramadol 50mg every 4-6 hours for 8 years now with the exception of two years in that time period when I was pregnant then nursing. I take it for Lupus SLE and secondary fibromyalgia. I stopped taking it two weeks ago because I have had consecutive flare ups and felt like this was just putting a band aid on a broken bone because maybe my body has become immune to this drug. My withdrawals have been horrific for me with anxiety, depression, panic attacks, chronic neck and shoulder pain, and nausea. My family doctor put me on Xanax, Prozac and zofran, but again it only helps a little. I already go once a week to a massage therapist, and every two weeks to a chiropractor. I cannot just be in a sedative state due my job and a toddler who is very active, so I would be so grateful to any suggestions anyone has for a more holistic approach. Thank you so much, I’m so glad I found a MSG board with people who have actually experienced this.

  56. I’ve been taking tramadol off and on for a few years. I’ve decided to quit cold turkey. Now I’m going through serious typical and atypical withdrawal symptoms… I have school, work, and other things to worry about right now. What will help me?

  57. Hello Lori. Tramadol can affect mood. I’d suggest that you record the symptoms of depression, linking them to dates, severity, and doses of tramadol…and consult with your prescribing doctor. It it possible that short term us of antidepressants during tramadol withdrawal can help ease this symptom (under medical supervision).

  58. I have only been taking tramadol twice a:day 50mg but every time in try to stop them I get terrible depression. I take them for pain due to my neck. I can handle the pain it is the terrible depression. Is this normal? I feel like I am going crazy.

  59. I tried many times to quit Tramadol and it was a complete nightmare. I stumped on the Tramadol Withdrawal Action Plan and for me at least it worked. It’s written by someone who’s been there and done it and talks a lot of sense. You could do worse than give it a try.

  60. I have been taking Tramadol 100 mg at bedtime for over five years. I have stopped Tramadol for as long as a week with no noticeble side effects. I went off the drug twice when times did not allow the cost of the prescription. The only thing I noticed is the pain was back that I was taking the med for. Not every one has withdrawal symptoms from normal usage. I am proof of that. Please, if you are reading this, want to quit taking bthe drug, have been taking as prescribed under a Dr’s care, and want to quit. Taper off slowly but don’t sit anticipating the worst. It may be you will have no withdrawal symptoms at all. Sometimes the power of suggestion is the strongest drug we face.

  61. I haven’t missed a dose and I am taking 2 a day everyday 50mg. I did notice that one day I took three and the next day in the morning before I took any I had some anxiety, unsure if it was from that though because I have anxiety sometimes also just not all the time.

  62. So what IS recommended for chronic AND acute pain secondary to a cervical fusion c3-c7 with a incomplete spinal cord injury? I have terrible muscle spasms from my neck and scm to my traps and shoulders bilaterally. I also have painful neuropathy on my right side down my shoulder and down to T-1 and T-2. I am on flexeril, which does nothing except make me sleepy, and Cymbalta. I do need analgesia and DO NOT want narcotics.

    Thank you.

  63. Hi Chris. The best thing to do is to be honest. If tramadol is required for pain relief and you’re noticing behavioral symptoms which may be linked to its euphoric effect, a doctor will not judge you for this. At least a GOOD doctor won’t. Instead, there may be an alternative medication for you out there.

  64. I have been on tramadol 3 yrs 300mg a day. At first it was very good but recently it has made me a introvert. In alabama most chronic pain is done by pain management clinics.Which i can’t afford. How should i approach my physician without coming of as a junkie and him refusing me further treatment?

  65. Hi i was taking tramadol for about a year 200mg a day and for the last 3 months 2 x 30mg morphine slow release tablets. Due to being unwell I stopped all my medication last week and I’m now on day 6 of withdrawal for both drugs.

    Is it better to continue taking the Imodium and phenergan or let my body flush it out? And how long can I expect it to continue as this is like hell.

    And should I be trying to eat and if so what?

  66. Hello Heather. Daily dosing of tramadol can lead to physical dependence. Have you ever missed a dose? What happens when you do?

  67. Hi I have been taking Tramadol for a little over a year now due to injuries in my neck and shoulder. I take the 50mg ones usually 1 to 1 an 1/2 to two a day, no more than that, but need it everyday at least 1 depending on my pain level. Will I go through withdrawal also after my pain is finally relieved ?

  68. Was taking tramadol ER and just quit cold turkey thinking about my craving for more and what was going to happen when I reached the maximum allowed dose? The withdrawal was horrible and went on for days. About a year later I tried just the 50 mg tablets that I wanted to take once in awhile when my pain was at its worst. Warning: this is very hard to judge when you have chronic pain. I wasn’t taking more than the prescribed dose; never more than 100mg twice a day. But my prescription ran out and I did go into withdrawals again, although not as bad as it was from the ER version. This time no stomach cramps nor vomiting. Yesterday was probably the worst, lots of body ache and headaches. Personally I find Alka Seltzer cold plus helps a lot. I think the aspirin in alka seltzer delivers faster, just my opinion. It usually wears off faster than four hours, so it’s okay to take acetimeophen (Tylenol) when that happens. Sadly, tramadol is what works best on my pain..

  69. hello and thanks for your help
    i have taken tramadol for 7 years 100=200mg per day.
    have tapered down to 25 to 50 mg over a period of months
    without much problem. now have been without for 4 weeks.
    cannot sleep which i expected…but now my heart rate keeps
    jumping to 148 beats a minute….will stay there for 5 days and
    then go back to 80 bpm for 5 days…wierd??? should i expect this? so far i have had 2 weeks of normal heart beat and 2 weeks of rapid….i dont wont to go to a heart specialist unless
    this is not related to tramadol withdrawal.

  70. Hi Connie. Contact your prescribing doctor and ask for a tapering plan. Any time that you cut opioids by 50% or more, you can trigger withdrawal symptoms. So you need a plan for reducing doses over time to minimize the severity of the symptoms.

  71. I was taking 1 and a half 50mg tramadol for one year before and following back surgery, I stopped for 3 days and had sleeplessness for two nights, and weakness in all my limbs. Today I took a Half a pill to try to conteract the symptoms. What should I do now??

  72. Hi Doug. Point well made and taken. We’ve sourced references from mainly government websites, which are institutions notoriously slow to make declarations about the addictive potential for ANY drug. And among the medical community, tramadol is generally viewed as one of the less dependence creating opioids, as compared with oxycodone, hydrocodone or morphine. We tend to agree with you – doctors and patients beware!

  73. regarding from your article here: and is generally not taken recreationally. Although Tramadol euphoric effects are possible, they can be almost imperceptible in most people. So, with such a low risk for abuse, Tramadol is frequently prescribed.

    Not sure what this is based on. I’ve read much on the web about people abusing this and taking it recreationally because they like the buzz and no pain effects. I did a simple web search and ran across numerous boards where people were discussing their love for the drug and that they can get it without a prescription from out of the US.
    And considering the harsh withdrawals that so many have, it seems that a lot of professionals aren’t listening to patients as much as the drug salesman – another simple web search will reveal that, try looking on for many, many bad stories of people saying vicodin, etc. is easier to quit. My doc was telling me it would be minor to use. At 150mg a day, it began to claw at me like a monster to take it more and more, sooner and sooner after barely 4 weeks. I could no longer keep a regimen of use and had to stop using it, and then the withdrawals were bad.

  74. Stopping addiction to tramodol can be a very difficult challenge that will make you feel the worst you ever have. I know. I have tried quitting many times, sometimes cold turkey, sometime gradual. I relapsed everytime, except the latest. I was taking 20 50mg pills a day, morning day and night. Had to to function and feel good. I knew I had to stop and finally geared up. Have the following in place:
    1. time alone and time off from work. I suggest 10 days. 2. drink lots of energy drinks and lots of water. LOTS. 3. Exercise as much as possible, even walking. 4. Smoke pot, espcially at night. this will help greatly and for me it took away the restless leg issue, a biggie! 5. Lots of vitimins and good healthy food. 6. Avoid diet soda and all carbonation. 7. Watch movies and relax. Be in a space where you dont have to be around people. Best wishes!!

  75. Hi Roni. Yes, increased heart rate is an expected symptom experienced during tramadol (or any opioid) withdrawal. Check in with your prescribing doctor to report the symptoms and to schedule a follow up appointment if the fast heart beat has become bothersome or worrisome, or just to help you ease your mind.

  76. When stepping down off of tramadol gradually after long term use for chronic pain, is it normal to have an extremely elevated heart rate for 8+ hours?

  77. Hi Marie. Thanks for your question. Ibuprofen, aspirin, and/or acetaminophen can be helpful during withdrawal. But be sure that you don’t overdose on these NSAIDs when detoxing from tramadol, because each does have a daily intake limit.

  78. You mention withdrawal may be helped with over the counter or home remedies….could you please explain or advise which otc or remedies you are referring to.

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