Tramadol Withdrawal Treatment: How to Treat Tramadol Withdrawal

Tramadol is a synthetic opiate agonistic that provokes physical dependence or addiction after regular use. So how do you treat tramadol withdrawal, given this potential to be habit forming? We explore here.

minute read
Reviewed by: Dr. Dili Gonzalez, M.D. Dr. Juan Goecke, M.D.

ARTICLE OVERVIEW: Our bodies can develop a chemical dependency on tramadol after only a few weeks of regular dosing. This means that when you stop taking tramadol, you will go through a period of withdrawal. We review the medical ways you can treat tramadol withdrawal. Plus, we’ll discuss what you can expect so that you can be best prepared.


Tramadol Basics

Tramadol was first suggested for the treatment of postoperative and chronic pain in 1970 in Germany. It was approved in 1994 in the United Kingdom, and entered the markets of the United States after the Food and Drug Administration (FDA) approved it in 1995. [1]

Tramadol is an opioid analgesic, also known by its trade name Ultram. It is an opioid analgesic that works through three different mechanisms:

  • Inhibition of serotonin.
  • Interacting with the mu-opioid receptor.
  • Reuptake of norepinephrine.

Tramadol is used both orally and as an injection to treat mild to severe pain. An oral dose of 50-100 mg is suggested every 4-6 hours with a maximum of 100 mg per day and a single dose of 50-100 mg IM or IV in 2-3 minutes for the treatment of postoperative pain.

Why Withdrawal Occurs

Withdrawal occurs because the body becomes chemically adapted to the presence of tramadol; regular doses of tramadol become “normal”. The presence of tramadol becomes part of the functioning of the body. The brain does this in order to continue functioning. In the case of tramadol – a central nervous system depressant – the brain “speeds up” certain function. However, when you stop taking tramadol, your body takes time to readjust.

During withdrawal, you are actually experiencing the adaptive symptoms of “speeding up”, which were originally triggered to counterbalance the psychoactive effects. Over the course of several days and weeks, the chemical state of the central nervous system returns to balance and symptoms resolve.


Tramadol has a half-life of 3-10 hours; the average life of a medication depends on the dose and formulation of the medication and it refers to the time it takes for the medication to be in the middle of a person’s system. Therefore, it is likely that abstinence from tramadol begins between 6 and 20 hours after discontinuing use.

ALWAYS seek medical supervision if you are dependent on tramadol and want to quit. Withdrawal can provoke benzodiazepine-like symptoms such as seizure.

Acute Symptoms

Tramadol has both opioid and non-opioid properties. Therefore, the withdrawal symptoms of tramadol mimic those experienced during withdrawal from opiates AND benzodiazepines. This is why it is very important to seek medical supervisions any time you need to get off tramadol and are drug-dependent!

The withdrawal effects of tramadol manifest in body as pain and discomfort. Abstinence from tramadol also alters your mood regulation and can have a psychological effect on you. The craving for drugs can make abstinence from tramadol even more difficult.

It can be complicated identify and treat withdrawal from tramadol symptom because around 50, or so, withdrawal symptoms are possible during tramadol withdrawal. Like other opioids, you can expect withdrawal from tramadol symptoms to feel like the common flu. However, tramadol affects everyone on an individual basis can produce non-opiate reactions in the body such as seizures. Withdrawal symptoms to look out for include:

  • Aggressiveness.
  • Chills.
  • Convulsions.
  • Diarrhea.
  • Dizziness.
  • Hallucinations (sensations and images that seem real though they are not).
  • Headaches.
  • Irritability.
  • Muscle pain.
  • Nausea.
  • Nightmares.
  • Panic attach.
  • Poor appetite.
  • Seizures.
  • Sweating
  • Tingling sensations.
  • Tremors.

Protracted Symptoms

Post-acute or protracted withdrawal symptoms (PAWS) refers to any symptom of drug withdrawal that persist after a person has ended acute physical dependence on a drug. Each episode can last for a few days, and these can continue cyclically for a year. The PAWS symptoms for tramadol typically include:

  • Agitation.
  • Anxiety.
  • Impairment of memory or learning capacity.
  • Depression.
  • Mood swings.
  • Sensitivity to stress.
  • Sleep problems.

These symptoms can persist for weeks, months, or in rare cases, even years after a person has stopped using an opioid pain reliever like tramadol.


The symptoms of withdrawal from tramadol begin within the first day after the final dose of tramadol. These can last for up to 72 hours before hitting peak intensity.
24-72 hours after the last tramadol dose:

  • Anxiety
  • Confusion
  • Cravings
  • Nervousness
  • Palpitations
  • Pins and needles
  • Sweating

NOTE HERE: It is critical that medical professionals observe you for signs of serotonin syndrome, a group of symptoms that may occur following use of certain serotonergic medications or drugs. Symptoms include high body temperature, agitation, increased reflexes, tremor, sweating, dilated pupils, and diarrhea. Body temperature can increase to greater than 41.1 °C or 106.0 °F. Complications may include seizures and extensive muscle breakdown.

Weeks 1 and 2 of tramadol withdrawal:

  • Blurred vision.
  • Cravings.
  • Diarrhea.
  • Dilated pupils.
  • Disorientation.
  • Hallucinations (sensations and images that seem real though they are not).
  • Nausea.
  • Numbness.
  • Paranoia.
  • Panic attacks.

Weeks 3 and 4 of tramadol withdrawal:

  • Anxiety.
  • Depression.
  • Irrational feelings.
  • Insomnia.
  • Apathy.
  • Depression.
  • Irritability.

Once these sensations pass, the person’s body does not need tramadol to feel normal. However, addiction is a more complex, chronic illness; detox alone does not solve the issue. The person may still struggle with cravings for the drug and compulsive ingestion if the drug is available. It is important to get help through a rehabilitation program after withdrawing from tramadol.

Main Treatments

The three main ways you can treat tramadol withdrawal symptoms include:

1. Hospitilization or medical supervision. Treating tramadol withdrawal under medical supervision is always wise. You can do this on an outpatient or inpatient basis. You might choose hospitalization during tramadol withdrawal or to withdraw from tramadol at home under the supervision of your prescribing doctor. Often helpful for people with cases of extensive tramadol abuse and/or addiction, support groups are also a great resource.

2. Detox clinics. Detox is the process by which tramadol is removed from the body either with the aid of medications or supportive therapies. Treating tramadol withdrawal symptoms in a specialized medical clinic ensures that you do so under medical supervision and help. This way, you can treat adverse withdrawal from tramadol symptoms immediately.

3. Treating serotonin syndrome. One major complication of tramadol withdrawal is the potential for serotonin syndrome. Serotonin syndrome occurs when your brain cannot regulate serotonin and your body experiences extreme depression and anxiety. Treating this naturally or with antidepressant can help to regulate the normal levels of serotonin in the body.

Medications That Help

Since tramadol is an opioid analgesic, its withdrawal symptoms can be treated as opioids withdrawals are treated, using the following medications that can help to recovery:

  • Methadone relieves withdrawal symptoms and helps with detox. It is also used as a long-term maintenance medicine for opioid dependence. After a period of maintenance, the dose may be decreased slowly over a long time. This helps reduce the intensity of withdrawal symptoms. Some people stay on methadone for years.
  • Buprenorphine (Subutex) treats withdrawal from opiates, and it can shorten the length of detox. It may also be used for long-term maintenance, like methadone. Buprenorphine may be combined with Naloxone (Bunavail, Suboxone, Zubsolv), which helps prevent dependence and misuse.
  • Clonidine is used to help reduce anxiety, agitation, muscle aches, sweating, runny nose, and cramping. It does not help reduce cravings.
  • Naltrexone can help prevent relapse. It is available in pill form or as an injection. Help to treat the overdose too.

Anyone going though detox for opioids, like tramadol, should be checked for depression and other mental illnesses. Treating these disorders can reduce the risk of relapse. Antidepressant medicines should be given as needed.


Tramadol is the medical practice of slowly lowering doses of a psychoactive drug over time. Because drugs interact in the body in ways unique to each person…this can help minimize the severity and intensity of withdrawal. Everyone is going to withdraw from tramadol differently and the best way to withdraw from tramadol will vary by person. However, one of the best ways to treat tramadol withdrawal, and which many doctors recommend, is to taper tramadol use over time.

You will discuss your tramadol use with your prescribing doctor and they will figure out the best tapering protocol for you withdrawal. 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. However, if you able to tolerate large dose decreases without risk of seizure, then this might be recommended, as well. [2]

Why Detox In A Clinic?

If you are dependent on tramadol, the safest way to withdraw should probably involve supervision of some sort. That way, you can be in a safe environment while you go through withdrawal to prevent relapse and/or adverse side effects. Medical supervision of tramadol withdrawal can also address and treat pain and symptoms as they occurs. That is why detox in a clinic will always be the safest option and recommended by professionals.

Detox At Home?

Should you detox from tramadol at home? Possibly, but it comes with side effects. In fact, when you detox alone, you face a number of risks, including:

  • Aggression and mood changes that may cause you to lash out at those you love.
  • Physical side effects that, if left untreated or when compounded on top of other serious medical conditions, can turn dangerous.
  • Psychological distress that can cause you to harm yourself.

It is better, and safer to withdraw from tramadol under the supervision of a medical doctor. Always seek medical guidance when getting of tramadol after a period of dependence.

Safety During Withdrawal

Safety comes first, and if you are or planning to get detox of tramadol, is better that you consider that serious problems could arise during the process of abstinence, such as the reoccurrence and overdose of very serious complications, such as respiratory failure and death.

Tramadol is a unique opioid drug in that it can trigger serious, difficult, and uncomfortable health problems. Correct withdrawal requires time, perseverance and hard work..and the process of detoxification can even endanger your life. For these reasons any withdrawal case must be supervised with the help of a professional doctor in conjunction with family and friends. This process cannot be completed alone.

Signs of a Drug Problem

Does your tramadol dependence point to addiction? Not always. Doctors use the American Psychiatry Association’s Diagnostic and Statistical Manual (The DSM-V) for the diagnosis of an addiction problem, or, as they call it, a “substance use disorder”. [3]

Diagnostic criteria for substance use disorders of the DMS-V are the following:

  • Continuing to use, even when it causes problems in relationships.
  • Continuing to use, even when it puts you in danger.
  • Continuing to use, even when physical or psychological problems may be made worse by use.
  • Craving.
  • Giving up important activities because of use.
  • Inability to manage commitments due to use.
  • Increasing tolerance.
  • Spending a lot of time to get, use, or recover from use.
  • Using in larger amounts or for longer than intended.
  • Wanting to cut down or stop using, but not managing to.
  • Withdrawal symptoms.

Persons exhibiting fewer than two of the symptoms are not considered to have a substance use disorder. Those exhibiting two or three symptoms are considered to have a “mild” disorder, four or five symptoms constitutes a “moderate” disorder, and six or more symptoms is considered a “severe” substance use disorder.

If you or someone you love has discovered that you have a problem with tramadol, it is best to seek help to start the detox program, before it is too late.

Who Uses Tramadol?

Addiction to tramadol has been a growing problem in the United States and around the world. While tramadol abuse represents a fraction of the overall pain reliever market, in 2014, the Drug Enforcement Administration (DEA) reported that 3.2 million people over the age of 12 in the United States used tramadol for non-medical reasons in their lifetime. This represents about 10% of the total pain reliever abuse market. [4]

According with the National Survey on Drug Use and Health (NSDUH), an estimated 881,000 people aged 12 to 17 in 2016 were current misusers of pain relievers, which represents 3.5 percent; in addition. There were 2,454,000 people aged 18 to 25, were current misusers of pain relievers, which represents 7.1 percent of the young adult, a 3,6 percent more than the first age group, and 3,2 percent more that other age groups. [5]

Which means that young adults (between 18 and 25 years of age) are the most consumed pain relievers like tramadol, in 2016.

So, as you can see, if you are facing a problem…you are not the only one with a pain reliever problem…

Don’t become a statistic!

Reach out for help to a trusted friend, family member, or drug hotline. You can call us on the phone number listed on this page. Or, send us a comment in the section below.

Dependence vs. Addiction

The Drug Enforcement Administration (DEA) permanently moved to tramadol to Annex IV of the Controlled Substances Act in 2014, because of its potential for abuse and dependence. A study in the United States reported that the abuse of tramadol was one in one hundred thousand people. At first, it was assumed that the risk of dependence on tramadol was very low, but after its extensive use to relieve chronic pain and also in cases of drug abuse…patterns of misuse began to emerge. [6]

The terms dependence and addiction are used, in many cases, interchangeably, however they do not mean the same, and undoubtedly represent two different processes.

Dependence is a condition caused by the chronic use of a tolerance-forming drug, in which abrupt or gradual abstinence from the drug causes unpleasant physical and psychological symptoms.

Addiction, according to the American Society of Addiction Medicine (ASAM), is characterized by the inability to consistently abstain from a substance, the deterioration in control of behavior and anxiety, the decrease in recognition of significant problems with behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. [7]

In other words, the drug necessarily creates dependence, but not addiction. If the person is dependent, it does not mean that is addicted; addiction is about intention of use.

Your Questions

Still have questions about tramadol withdrawal or tramadol withdrawal treatment? Please ask us now. In the comment section, you are invited to ask questions you would like to have answered. We will get back to you as soon as possible.

Reference Sources: [1] FDA: Label: Tramadol
[2] CDC: Pocket Guide: Tapering Opioids For Chronic Pain
[3] DSM LIBRARY: Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition
[4] BUSINESS INSURANCE: DEA Reclassifies Painkiller Tramadol As A Controlled Substance
[5] SAMHSA: Key Substance Use And Mental Health Indicators In The United States: Results From The 2016 National Survey On Drug Use And Health
[6] DEA: The Controlled Substances Act
[7] ASAM: Definition Of Addiction
AJP: Abuse, Dependence, Or Withdrawal Associated With Tramadol
DEA: Tramadol
FDA: Ultram
MEDLINE PLUS: Opiate And Opioid Withdrawal
NCBI: Psychosis Following Tramadol Withdrawal
NCBI: Tramadol
PSNET: Dependence Vs. Pain
PUBCHEM: Tramadol
SAMHSA: Emergency Department Visits For Drug Misuse Or Abuse Involving The Pain Medication Tramadol
SAMHSA: Results From The 2016 National Survey On Drug Use And Health: Detailed Tables
TOXNET: Tramadol
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.
Medical Reviewers
Dr. Dili Gonzalez, M.D. is a general surgeon practicing women's focused medici...
Dr. Goecke is a medical doctor and general surgeon with personal experience of...

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


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  1. Hello
    Been taking tramadol for years, amount taken was from 150mg up to 1000mg a day. Had been taking considerably doing these past few months.
    Tapered off somewhat, but not like the recommended program suggested.
    Had surgery 2 weeks ago for a herniated disc, was prescribed Norco.
    During that time I did not take any Tramadol. Decided that was a good enough time to quit.
    I quit cold turkey 4 days ago it has been rough, I admit.
    I have been taking Gabapentin.
    My sleep has been intermittent, suffer from most of the symptoms previously mentioned.
    But I have made it this far, hoping that the symptoms will continue to lesson. Actually did some work in the house today.
    Have to be back at work in 7 days, hopefully I will feel better by then.
    I do seem to feel a little better today, I sleep whenever I can, still very tired, hopefully all that will continue to get better.
    My biggest issue right now is sleeplessness.
    Plus I’m doing this by myself, without no real support, that makes it much harder.

  2. Please I need help. I’hv been addicted to tramadol for over 3years now. I tried several times to withdraw but faild because I could not deal with the withdrawal symptoms like dirhea, cold sweating,discomfort,difficulties to sleep eye..
    It’s there any medication I can take to combat or reduce these withdrawal symptoms?

    1. Hi Chris. It’s not recommended to quit Tramadol cold turkey. The safest way is by slowly reducing the daily dose. I suggest that you consult with your doctor to help you plan an individualized tapering schedule. Also, download our free guide ‘How To Quit Opioid Painkillers’ to learn more:
      And, if you have any problems, call the helpline you see on this page to get in touch with a trusted treatment consultant.

  3. My husband is 9 days into cold turkey off tramadol.hes been on them for 10 years and it’s taken 2 years for us to get him to see his addiction. Once he did he just stopped. My old hubby is coming back to me but I would love to be able to help him more. He refuses to see the doctor because he as we are. Are concerned they will want to put him back on them to withdraw him over time.
    Please what can I do.

  4. After only 3 months on tramadol, I foolishly went cold turkey….omg, have not slept for 3 weeks now, I wish I had asked for advise.

  5. I have been taking Tramadol for about the last five years on a daily basis. I probably took ten in a 24 hour period. Recently my insurance stopped covering it so I was forced to quit. I had may a dozen pills at the time of being denied my refill. I made them last as long as I could maybe over one week. The withdrawal feeling hasn’t been too bad except for when evening comes. When I settle down to sit and watch tv or read I begin to get a restless leg feeling which also affects my arms and shoulders. I have tried Requip and Xanax for relief but nothing seems to work. It is making me crazy because I just can’t relax during this time. It has been over two weeks that this has been going on. Any ideas……

  6. I have been taking tramadol for 3 years now about 10-20 pills a day. Just recently found out I was pregnant so I was trying a tappering dose but not enough supply to continue a tappering dose so now I’m having all the symptoms and it’s awful. What should I do?

  7. I am desperate to stop using tramadol after 3years. I am convinced my personality has changed , I am so depressed all the time even though I’m taking 20 mg of citalpran. I am trying the tapered method you mentioned but after a few days I get withdrawal symptoms . All my doctor suggested was breaking tmmhem up and then it was goodbye ! So I don’t feel as if I could get support from them .how do I get referred to an outpatient clinic please help me .

    1. Hi Lyn. Call the helpline you see on the website to get in touch with a trusted treatment consultant who can help you find the best treatment options for you.

  8. Av stop taking tramadol for 4 days and im battling with insomia, pls i need help, on how to sleep well at night.pls if u can prescribe medications or drug i can get in Nigeria..thanks

  9. I have been on Tramadol for 3-4 years, the doctor has put me on hydrocodone 7.5 325 mg. They also destroyed what I had left in my bottle. So I was made t quit cold turkey, but the withdraws are horrible for me the hydro doesn’t touch the withdraws. My question is simple WHY?

  10. hi, I have been on tramadol for four years 2 tablets, 50mg, four times a day I have been cold turkey for 36 hours. I am veteran and on Medicare. I have tingling in my palm of my hands, sometimes and left arm jumps at night, cant sleep, feeling uncomfortable and fade in and out, and its very mild. should I detox with rehab or continue what I am doing. I don’t want to take other drugs and become dependent on them. please what advice can you give me?

  11. I was only taking tramadol for 6 days. Now that I’ve completed the script I’m having pretty bad withdrawal symptoms, how is that possible for only taking them for 6 days? I was prescribed norco for a couple weeks last month, and when I finished that script my withdrawal symptoms weren’t this bad! I go to my dentist tmrw to finish getting some work done but I don’t think he’ll give me anything for pain as I don’t think I’ll need anything, but who knows how the appointment will go. How am I having worse withdrawal symptoms then stronger opiates?? Especially because I had a tolerance to the norco and didn’t have this bad of withdrawal symptoms. How long will these symptoms last?

  12. I have been taking Tramadol for only 6 weeks post knee replacement surgery. I was only taking 5, 50mg pills a day. Doctor and pharmacist couldn’t tell me how to wean off or that I would need to. So I went from 5 to 3 to 2 to none over a period of a week or 2. I have been having withdrawal symptoms go over 48 hours. How long can I expect this to continue. Mild case?

  13. Hi, had knee surgery and was given Tramadol, stopped pretty fast taking them, it’s been about 2 weeks, some days are better rhan others, will drinking lots of water help flush it out of my system ?
    Thanks a lot

  14. I just spent an hour asking for your help and I got told “hhhmmm your message seems a bit spammy… sorry we’re not big on spam around here”.
    Do you not think it’s a good idea to have a human moderate the messages people write instead of a computer program?

    1. Hi William. Sorry for your troubles… some combos of words are auto-signals of spam to the system. However, actual people are moderating the comments. And, whenever you have problems posting your questions and comments, keep in mind that you may always send an email to

  15. Hello!!.. I now take tramacet. I take 3 a day, same time everyday. I used to take tramadol by itself, up to 150mg per day. I was able to bring myself slowly down to 100mg per day, and the withdrawal was UNBELIEVEABLY HORRIFIC!!!!…. I found that the 100mg was not doing enough to lessen my back pain. (I have severe osteoporosis, two vertebrae fractures that won’t heal because of the osteo, and they hurt constantly) My doctor agreed to letting me have 4 tramacet per day (2 tabs twice daily) but I decided myself to only take 3 tabs, but once a day…. I want off this terrible drug, but I am frightened out of my mind about the withdrawal, having experienced it already. (the withdrawal was the most torturous thing I have ever gone through) Also, I was mean, fowl mouthed, and a complete prick to all around me, and I don’t want to do that again, but know that I will. I also understand that the withdrawal becomes much worse as you approach being completely off it. Please tell me what the best thing for me to do here. I want to minimize the withdrawal as much as possible. Thank you.

  16. I had knee replacement surgery 1 month ago, was given Tramadol for the pain, every 6 hours which I took as prescribed….. read the side effects and stopped taking it immediately. After 3 days I have headaches, confusion, anxiety, insomnia. I regularly take 100mgs. of Zoloft everyday…..dislike feeling this way, how can I flush it out of my system fast.
    Have had to take Clonopin to sleep….help
    Thank you

  17. please am addicted to tramadol and i want to stop but really afraid of the side effects. please whats the best tramadol detox that i can take. which i can get out there. am in Nigeria. i became addicted to it due to pains on one part of my waist i took it and it actually worked but after continuous usage i started increasing my dosage n now i can take about 400 to 600mg comfortable. but i need to stop it because once it wares of, i don’t like the way am feeling. i need to stop because is now affecting me my hands are now kind of shaking. most times after taking it. i was told this evening that my speech was shaking i can’t continue like this please help me.


  18. i am so scared, yesterday was the last time i took tramodol and might night was horrible. I had tingles all over my legs and arms and i was sweating and throwing up. my problem is that the pills are all gone and they werent my perscription, i am so scared this feels so nasty please tell me something i can do,

  19. I have been taking tramadol every other day for a year. What do you suggest I do to try and ween myself off of it ?
    Thanks you

  20. Hi I’ve been taking tramodol for three years and i want to stop. Best route fie me?? What about suboxin??

  21. Ok here goes I’ve been on tramadol but will take anything if I can’t find the trams for about 7 years now . I’ve spent so much money and lost so much because of it and believe me I know it’s my fault . I had a total hysterectomy when I first started them omg they have me so much energy . I was hooked . In between then and now I had several doctors prescibe them to me didn’t really need them most of the time but easy to get . I recently broke my foot and have been taking a lot . I’m so done my foot isn’t hurting anymore but I am . I haven’t taken any in 3 days and it’s been horrible . Cold sweats ,hotinside ,blurry vision, shaky, depressed sneezing,anxiety no appetite,restless legs omg I hate those,peeing a lot and now puking so question is an about over the worst of it ? I’ve tried to stop before and had a seizer

  22. Hi im tabby 31 ive taken tramadol since I was16 off and one then the last 4 yrs its increased to 20 or more a day,do to endometriosis,I had my hysterectomy,5 wks ago,I want to get off of this medication,I dont no where to start,going to the doctor or talking to a therapist is out of the im doing this on my own,last time I tried to stop,I had a very bad sensitivity to my body I chouldnt stand to be touched,my head felt like I just got off a elevator,I was so irritated,I also had no energy at all,plz someone help me,I also take lexapro for depressetion,so I have those serotonins floating around to.somethings got to give,before I end up hurting myself do to this medication

  23. I have taken one 50mg tramadol daily or every other day or every two days for several years because of back pain and degenerative arthritis I always take one 800 mg ibuprophen or arthritis strength tylenol with it. It does cause irritability if you suddenly leave it off. However this last few weeks I have taken it about once every four or five days without many side effects. I took it Tuesday night and Friday night. However I had some symptoms which I thought were related to heart or maybe lung problems, but my son said they might relate to leaving off the tramadol? The symptoms were a catch in my left chest or skipped heart beat, coughing, and shortness of breath. Of course, these could also relate to allergies. I did read that one symptom is palpitations of the heart and breathing problems.

  24. I took a Tramadol someone gave me for a headache 12 years ago during an extended difficult period in my personal life. I was almost immediately addicted to this drug because it made me feel so much better emotionally. The doc I went to freely gave me a script and told me they weren’t addicting. I soon discovered he was very wrong.
    I have detoxed from it at least 6 or 7 times with various uncomfortable results. My first three or four times I went cold turkey. I got disgusted with myself for my growing dependence and flushed my prescription. Got terrible flu like symptoms for days right before Christmas and couldn’t function. Rather than ruining my children’s christmas I went and got a refill. Felt better immediately and began to see I was really addicted and withdrawal wasn’t going to be easy. Fast forward through three more secret at home detoxes with no support-i was a single parent and had to function and always ended up relapsing just to function. I finally discovered that if I weaned some and began taking an antidepressant, it took up a great deal of the serotonin deprivation and made detox MUCH more bearable. I walked out of my last at home detox using an SSRI and was able to function in everyday life. Since Aug 2014 it has been tough getting tramadol, and that helped too as I had been getting them at online pharmacies at that point and that resource dried up.
    Moral of the story is, consider taking an antidepressant if the dr is willing to prescribe it safely. It made a tremendous difference.

  25. Hello I been taking tramdol for about two months.I did read on side effects but didn’t know it will be like this.I’m up all day every day.I maybe have had 10 hours in almost the past 72 hours.I’m trying to withdraw on my own.but at times I feel like given up.My sister told me to get some pulls to help me sleep (Melatonin)..I took it at 9:30pm fell asleep. at 11:45pm I won’t up and its now 3:44 no sleep.I need help.what would I do?

  26. Dear sir,
    Thank you for this withdrawal-from-addiction service. What you are doing for the public is unquantifiable. May the Almighty give the strength to carry on.
    I have a very prolong tramadol addiction; in fact for over ten years swallowing tramadol capsules on dailies basis. I have terrible withdrawal syndrome that involve extreme seizures, and complete lack of energy. However, I want to quit no matter the cause as I have discovered that this addiction has become a bondage to me.
    My questions are:
    i) Is there any hope for someone like me to completely quit?
    ii) How long will the withdrawal symptoms last?
    iii) Will it be a good decision to go for rehabilitation?
    Thank you.

    1. Hi Ebeku. There’s always a way to quit. Soon, you’ll walk tall on the road of recovery. You only need to make a decision to stop. As for Tramadol withdrawal duration, it’s different for each individual, and it depends from various factors such as frequency of use, dosage, timeline, human body, fat, etc. A rehab program is the best option for treating addiction. If you need information on how to choose the best rehab, download our free ‘Definitive Guide to Rehab’ here:
      Moreover, call the number displayed on the website to get in touch with a trusted treatment consultant who can help you find the best rehab program suited for your need. The helpline is free, confidential, and available 24/7.

  27. I was prescribed Tramadol 3 months ago for chronic post op total knee replacement pain 31/2 months ago. Script was 50-100 mg. 3 times a day. Number of pulls was180. In the beginning I took as directedb but found the relief was marginal. I decided to do a very slow taper about a month ago. Eventually reduced down from 300mg. daily to 150 mg without having any withdrawal sx. Over last 30 days went down to 100 mg. daily. Ran out of pills, at this dosage yesterday and thought I was home free. Not so. Started having withdrawal sx. 10 hours after last dose. Sx. include insomnia, muscle pain, low gradae tremors, jaw/teeth, diarreha, flu sx. Am wondering if my withdrawal time will be shorter because of the self imposed withdrawal protocol. As an aside, this drug dose little for pain and yet has the risk of significant withdrawal issues. the

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

  28. Serotonin syndrome is caused by too much serotonin in the brain, and this would not happen during tramadol withdrawal because tramadol increases serotonin levels so its withdrawal would have the opposite effect. Real serotonin syndrome is also not treated with SSRIs, they would only make the problem worse by further increasing serotonin levels.

  29. I have been on tramadol for 3yrs for chronic pain. I take 300mg ER. I also take 1800mg of gabpentin and a 50mg xanax for restless sleep. I want OFF of the tramadol, do you think the other two will lessen my withdrawal? I also have high blood pressure currently managed with meds.

  30. I had been on tramadol for over 10 yes my Dr. stopped them abruptly this was 5wks ago and I still feel awful not myself at all can’t sleep or think straight how long will this last ? Didn’t feel so bad first couple wks but worse now

  31. Hi I’m Jeff I’m 30 iv been on trams for 6 years and have back and leg pain (leg pain cause of cancer ) im perscribed 8 trams a day I really want off these .i can do like 20plus a day and when I’m out I get sick idk how or what to do

  32. I have been taking tramadol for 3 years and decided to just stop i have done 4 days now and my withdrawal symptoms are no sleep pins and needles anxiety and a feeling of something crawling on my skin i have no energy is there something my doctor can give me to help.

  33. I’ve been on tramadol abuse for almost 2years now but don’t take it daily, I take 250mg but only took 500mg like 3times, I went on cold turkey since last week Monday and I’m still going the withdrawal symptom till now, what are the things to do to make it go away fast. I get to sleep at night, but still have Rls and some kind of feelings at the back of my ear. Will be waiting to hear from you.

  34. My self a pharmacist i take 20 to 30 cap of tramadol daily 5 to 6 months but at least I reached to doctor to stop this addiction, or I quite tramadol today after the treatment of several weeks .its reality trust me .

  35. I have a prescription for Tramodol I have been taking 3 50 mil per day sometimes one or two more if pain gets bad..i have a very high end job that I just started so time off is impossible is there nothing I can do to clean my body of this drug so I can work going thru withdraws..i want off but have to work no waY out. Please help me!!!!!!!

  36. I’ve been on tramadol 2yrs .my surgery is crap I’ve spoken to 5diff doctors because there are not usually same doctor on . One doctor said cut tablet in half but they are round and coated so they just crumbled up ? I don’t think they are bothered one doctor said they are actually v good pain relief and not pure morphine just man made . I know they aren’t good for me I don’t want to take them .

  37. Goodday i have been taking tramadol for 11 month now. i really need to stop . i started with 150mg now am taking 225mg . i cant do anything without it please i really need to stop. help me

    1. Hi Chaz. Yes, by breaking the pill, and then changing the time frame of consuming the dosage. If you have any questions on tapering schedule, consult your doctor first.

  38. I have been taking 37.5mg/325mg tablets, one to two a day for about 5 years. I have tapered down to 1/2 a tablet once a day. But would like stop now. I have felt a little “down”, but am on a small dose of Setraline (12.5mg). Have had some headaches, but just taking Tylenol. Can I safely now just quit taking the half tramadol tablet? What I expect to happen…

  39. Hiii i took tramadol for 4 days one a day and then experienced a palpitation so ive gone cold turkey on it and i am still having withdrawal from it today is my sixth day i have difficulty falling asleep i feel like im having a heart attack when im getting into deep sleep and i feel very anxious and a bit nauseous and my body feels cold at times… i have started ayurvedic medicine (pudina) helps me relax and got some sleep last night.. any advice

  40. I have been taken tramadol 6 to 7 years …due to sever back pain in my disk. I have been advised for tramadol by the doctors. After treatment Ia m feeling this medicine has involved in my daily diet. Now a days my body is requiring more and more. I m taking 3 caps one time, in a day 3 to 4 caps. My age is 38. I seriously wants to withdraw this medicine.

  41. I am addicted to tramadol and i hate it i have been taking them since 2009 after a head on car wreak if i dont have them i cnt sleep,i itch im very agitated my body hurts please tell me what to do i dont want to got through this anymore

  42. I took abt 10 to 12 100mg for 6 months got 240 a month sometimes id run out in 2 weeks! Been on lower dose of tram before that for 5 yrs. Due to surgery 7 weeks ago i was also on oxycodone. The surgeon found out a refill of tram came thru and they stopped me cold turkey. Been worst time of my life. I was hooked on tramadol badly! Been off for 3 weeks now.. My BODY is over withdrawl BUT MY MIND IS BLANK. I HAVE ZERO ENERGY AND NO HAPPINESS. I just lay in bef all day n night since comming off. What will help my brain so i feel happy n energetic again?? On tramadol i was HAPPY and VERY energetic. Now….. Its like i dont exist. . need help

  43. I have been off tramadol for 8 months now I used to take 8-9 tramadol every 2 days I wasn’t prescribed them either and I still have really bad craving and I get really angry what can I do to stop these without going to the doctors or a support group?

  44. What are some home remedies? I have been taking 500mg for a little over 2years. I can’t take of work. What schedule of tapering should i do if ibeen taking 500mg aday?

  45. I’ve been on Tramadol for exactly one week now at 50 mg. per every 4 to 6 hrs. I’ve cut them in half for dosage because of my weight which is 109 .This afternoon whilst standing I got creepy dizzying anxiety like symptoms and very tired now! How do you suggest the weaning process goes for being on it just a week at low doses? I truly cannot stand the side effects that this is causing.

  46. I am taking 16 to 20 pills of #tramadol SR 100mg from 2 months now . now I just want to leave it .first day of withdrawl was OK but I couldn’t get any sleep because of muscle pain or restlessness. What’s your advise I should do?

  47. Knovin
    Ive been taking tramadol for a year and 6 months. But i only take a 100mg at night. If i stop will i go through withdrawal

  48. i am facing backache sinse 2012, for this i do use tramadol 50 mg thrice a day, now i am dependanet on this, lack of tramadol or delay so many difficulties arouses, i want to get rid of this what is safe ieda

    1. Hi, Rkumar. I suggest you speak with your doctor or a pharmacist to help you plan an individualized tapering schedule.

  49. I stopped using tramadol about 6 days ago and today I feel fairly good. I still have insomnia and can only sleep with the help of ambien. I also have a little bit of the leg tremors. It was hell the first 3-4 days with headaches, body aches, lethargy, sore throat and generally feeling miserable. I was only taking 50–100mg per day and cut it down to 25 mg once per day at bed. Still had the terrible effects though. I have alot of the tabs left but have them put out of reach. Would it be ok to use them occassionally when the pain I have flares up? It does manage my chronic pelvic pain and tmj pain. Thanks

    I forgot to mention above, I was taking it for about a year. I tried the Immodium as well. I think it helped a little. Also took epsom salt baths (with a glass of wine) , tylenol, and advil sinus. I would give anything, though, for a good nights sleep.

  50. I have been on tramadol for about 8 years. The Max I have taken in one day is 22. I am now down to about 10 but about to go cold turkey again. I will say that the withdrawals are horrendous. I did got to urgent care and was given the following to help the last time I went through withdrawls.

    Muscle Relaxers
    Anti Diarrhea

    It did help with some of the symptoms but I was back taking it again right after. The best medicine so far that I have taken to help with withdrawals is Gabapentin. It does work and I would look into a short term use if your doctor can prescribe. I just need to get off of it altogether and never touch the drug again. I wish I had the money for a detox. I could really benefit from it but my insurance does not cover it.

  51. I have been on Tramadol since 2002 because of severe back pain after spinal fusion. I am now taking between 600-800mg daily. If I don’t take them I feel suicidal. All my doctor says is taper off slowly. I just find, however, that I can’t seem to do this. I am 56 years old and am now desperate. If I start cutting back I am hell to live with and I can’t bear to be around people. Is there something I can take to reduce the symptoms. I also take Naproxen for neck pain and arthritis in both wrists.

  52. My husband was on Tramadol for more than 3 years (50 mgs x 4 per day). Prior to starting the medication he had a history of anxiety and depression and PTSD. His symptoms of anxiety and depression were getting increasing worse and his PCP then added Wellbutrin and his symptoms became out of control. We were not informed by his PCP that he needed to taper the Tramadol and he went off cold turkey. It has been 5 months since he stopped both medications and he is still experiencing, severe panic attacks, anxiety, shakes, hallucinations, etc. He has been seeing a psychiatrist who has him on other medications but he is not getting better. We now believe he may be experiencing PAWS…post acute withdrawal syndrome, but are having difficulty finding someone experienced with the side effects and withdrawal of this medication in our area. Does anyone know how long these symptoms can last.

  53. I have been on tramadol for three years. I have to admit and am ashamed that I have abused it. I have quit cold turkey. I turned to God a week ago to help me take the addiction away. I believe in him I will be made while again. We can do all things through him. But these withdraws are horrible. I pray every time I start to feel that depressed mode kick in but I am still suffering. Besides that I’m still having a hard time.HELP

  54. I was forced off tramadol cold turkey when I moved to another state It has been 3 months now and even with supplementation I am chronically stressed and depressed. I have 3 children 2 10 year olds and a 5 year old I home school I need help.

  55. Hello, I am having a terrible time after stopping Tramadol. I’ve come off these before with minimal withdrawal symptoms. But this past time has been way more severe. I admit, I was abusing them. Just got tired of being drowsy and lethargic. So, I quit cold turkey expecting the normal “bad week”. Well, this time, my face broke out like it was burned. I became more and more dizzy and weak. And, 7 weeks in, I’m experiencing severe, severe sleep disturbance. At first, I was up 3 days straight and wasn’t even tired.Well, I was tired but not sleepy. This happened a few times. Then I would get these weird euphoric rushes sometimes in the day. But have only been really a true “drowsy” twice. Now, I sleep 6 hrs one night and 2 the next etc. My dr has no answers and says he’s never heard of this effect from any drug. I’m scared and at the end of my rope. Have I permanently damaged my brain? Please please, someone help me with this. I feel like I’m going crazy.

  56. Since Oct. 2014, I have had 2 Total Hi Replacements with 4 Dislocations after 1st surgery. I have prescription drug issues many, many years ago. I saw my Surgeon 1 1/2 months ago & asked if Tramadol with new regulations was OK. The prescription stated I could have up to 400mg a day I never went over. Now I am in full withdrawal & fill ashamed, but I don’t know why. I’ve had all kinds of complications with my hips & now my back since last surgery in January. I am unemployed with no insurance. My surgeon I thought was my family since he has done 5 hips surgery on me since 2009. I’ve been trying to get a refill for the Tramadol & they keep putting me off. I am in active withdrawal. I am a RN, but am nervous, I have n Clonidine. I was a CARN spcialization in addiction & detox when there was 30 day treatment. Any Advice?

  57. Hi guys. Well I definitely have an addiction to Tramadol. I have been on them since 2008 with very few breaks in between. I am an addict anyway and have been sober from cocaine since 08.I was given tramadol for one thing or another over the years and if I don’t get them I get the full blown flu…onetime for three weeks straight. I use to take a lot more but they get harder and harder to obtain so mainly I take around 7 a day..50mg. I take them all at once for the high it gives me and I usually don’t have enough to take anymore than that a day. I buy them from ppl also so I don’t get that flu back. I feel awful…I have lost a lot of weight…and I feel that ole bad addicts feeling again. I don’t want this medication in my life anymore…it’s consuming my life. Do I need to be in a hospital to detox since I take so many a day? Help

    1. Hello Louis. How are you feeling? It is important that you get lots of fluids and are treating your flu-like symptoms as best as you can. Over-the-counter medications that are generally suggested, include ibuprofen, acetaminophen or paracetamol to help with pain along with other NSAIDs (non steroidal anti-inflammatory drugs). You can also use temporary sleep aids and muscle relaxers that can help take care of the cramping caused by tramadol withdrawal. Flu and cold medication can also help treat general tramadol withdrawal symptoms.

  58. I’m really sick.Its a Sunday afternoon and the in patientlaces I called are closed..I can’t stay but can go everyday if I need to.can I buy something over the counter at. Wallgreens that can help

  59. I’ve been on 100 to 150 mg of Tramadol pr day for about 6 months. I cut back to 50 mg about one week ago. On and off hot flashes and chills, burning and stinging in the soles of my feet, skin sensativity, anxiety, depression, sneezing that seem to only come on every day about 4 to 5 hours before I take my 50 mg pill before I go to bed but is almost unbearable. Are these all symptoms of withdrawl and how long will it last? How long should I wait to go off completely?

    1. Hi Joann. Are you doing the taper down in accordance to your doctor’s advise? Usually, you should wait till your organism gets adjusted to the reduced dose you are currently on, and then reduce again. Doctors recommend to reduce doses weekly for 10%. That is 10% less that the dose you are currently on for a week (or two weeks if necessary) and then another 10% lower. But, please consult a doctor before you move forward.

  60. Ivana, thank you for creating this blog. I have been on tramadol for about 3 years now for chronic nerve pain. I had no idea it was so addicting until I stumbled upon this site. I began taking 1-2 50mg pills once or twice a day, but then have had to ramp up to 2-4 50 mg pills twice a day for a while I suppose due to tolerance build-up. I will begin weening myself off starting right now. Are there any natural herbs that mimic the pain relief tramadol provides? I noticed you mentioned Phenibut in an earlier post.

  61. Hello Mort. Since your wife didn’t take the medication for a longer period of time, the withdrawal symptoms will be over soon. You can go and see a doctor to prescribe some medications to help her deal with those effects. I know that Zofran Zydis wafers have been very helpful for vomiting and nausea. Immodium is good for the diarrhea. Baths are great with Epsom salts or light massages can also help relieve the withdrawal discomfort. Best of luck and I hope she feels better soon!

  62. My wife took tramadol for 10 days following a pelvic fracture, and stopped abruptly yesterday. She can deal with the pain, but what to do about the nausea, feverish feeling, etc. she is having.

  63. I was on tramadol for 2 years 100mg a day I took 50mg for 5 days and stop taking any. How long will the withdrawal symtoptoms keep on

  64. Hello Efosblack. What can really help you manage withdrawal symptoms is a lot of rest, relaxation, full body massages, hot baths, good meals (cut out processed food and stick to whole foods, fruits, vegetables, and proteins), exercise as much you can (low impact exercises-to release endorphins and dopamine). Very few supplements actually work for relief from withdrawal pain, but you can try Phenibut to relieve tension and anxiety, ease body aches and to aid sleep; St. John’s Wort for anxiety relief, motivation and improved mood; 5-HTP for serotonin and neurotransmitter reproduction.

  65. Please does coffee help taper the withdrawal symptoms. ….If not what can I take to get me through the day… am bout going nuts

  66. Went cold turkey and I have been dealing with withdrawal from Tramadol now for 7 weeks and still having daily cold sweats with echo-dizziness in my ears and temples and hearing non-sensical voices at night. Horrible, horrible drug to have withdrawl from. Never again, I will live in pain first. Basic ibuprofen has helped a tiny bit.

  67. Thank you so much..I was not very smart by nowt asking for help, and went of this drug “cold turkey” and suffered the result..Actually I was not very much into taking the drug as prescribed: 4 a day. So my withdrawal symptoms were not very very awful..but bad enough that I vow not to take any more drugs..Too afraid..I have begun a weight program that i think will be good for my knees and am going to counseling for my mental attitude: sad and fear of who knows what..
    Thank you so much…I wonder whey Dr.s even prescribe this drug!!

  68. I am a 84 years old and have have had bad knee pain for sometime..My doctor subscribed Tramadol hcl to me and i have been taking it for 2 months..I began to feel depressed and sad, very unlike my personality. I decided to stop and did, with out telling my Dr. about the second day of not taking the drug I became very upset, crying, pains in my chest etc. my daughter took me to EM because I thought i was having a stroke. I went through 2 days of extreme pain, twitching,crying and just feeling very bad!!
    I think I am getting through it, but still have some nervous feelings and wanting t o cry..I want to know what i can do to lesson the feeling of anxiousness..not more drugs, maye a tea, non drug pill or something to make me feel better..I am resolved to live my life without drugs..thank you so much..Nina …

  69. hi, when you do the 10% reduction and then 20% reduction how many weeks do you do the 10% before you do the 20% and how long do you do the 20% for.

  70. Hi Jim. You can cut 10% daily or reduce by as slowly as 5% every 2 weeks. It all depends on the withdrawal symptoms you get. Usually, you hold a dose until the severity of the withdrawals subsides. Plus, it depends on how much and how long you’ve been taking Tramadol.

  71. Hello Susannah. I’d suggest you see your doctor soon. He/she can help you create a tapering schedule that will slowly wean you off tramadol, while preventing most severe symptoms. Also, ask for OTC and home remedies you can use to make things easier on you.

  72. I need help!!! I have only been taking it for 3 weeks, due to a shoulder injury. The dosage was 1 or 2 50mg tablets 3-4 times a day as required. I got accupuncture which fixed my shoulder and stopped taking the tramadol. When i stopped it, i was taking 2 tablets twice a day, at morning and evening. I didn’t know i was supposed to wean off it. I’m sweating, cold, I can’t stop crying and i have SEVERE anxiety, about everything. I have 3 small children and i can’t cope with this. I was also taking valium as a muscle relaxant, which i have also stopped. This coupled with the recent death of a close friend has me on my knees. Please help!!

  73. Hello I been taking like 20 to 30 50mg pills everyday for like 2 months will u be safe to do it off home without having seizures? Its been 24 hrs and I have not does that I mean I wont? I’m 24 yrs old I want to stop but seeing that I can have a seizure makes me want to take one so I don’t in my sleep when no one will know. I’m detoxing on my own no one in my faMily knows. But I have suboxone 2mg pills and don’t know how to take it how many are what? Any dosage tips

  74. Julie..i have been on n off this drug for over 10 years the withdrawl syptoms will last at least two weeks which can include..nausea..tiredness..weakness..inside body buring up while outside freezing. its the worst feeling in the world but when you finally reach the other side you feel brandnew. dont give up wish u the best of luck!

  75. So can no one answer the simple question, how long does it take to get over the withdrawal symptoms? Sorry but this is the answer I am looking for before I completely lose my mind!!!

  76. I have been taking Valerian root the purest you can find with out alcohol.I take it three times a day it calms you down a lot it well help you get thru the day. Take the valerian root as strong as it says. It does not taste so good just hang in there i know it is not easy.I am there with you if i can help in any way i well .

  77. I took tramadol for about 3 yr i went from 4 tablets a day to sometimes 10 a day. I just started to go off them a mouth ago i got down to 3 a day and desided to just give them up.i am doing fairly good except sleeping is hard. my advise is you just have to want to be free from them.So hang in there and be strong.

  78. I’m 55 years old and was prescribed tramadol for back pain in 2003 and have been taking it daily for over 10 years now. I have tried to taper down but with little success. I have been detoxing at home for the past few weeks taking only one or two tabs daily. I can barely function and the withdrawal symptoms are torturous. I feel like I should be able to get through this but After reading here about tramadol withdrawal I’m fearful about how long these symptoms will last and wonder if I can do this. Any thoughts or advice on how I might be able to get through this would be greatly appreciated.

  79. i have been using tramadol,since 3 month,but now i want to be free from its without it i cannot sleep properly,backpain,and uncomfortable in my body…plzzz help me to be free from it….

  80. I have been dependent on Tramadol for well over 10 years. Its become a part of my life and for the most part I have been managing ok. I only take it at night or when i know I will be home for a extended period of time. With the DEA schedule change I am truly terrified. My online sources are all closing up shop. I have tried several times to taper off always seeming to cave in at some point. i am married with 2 kids and I have hidden this addiction from them for years. Always using the flu or something like that to explain my mood or condition. I will start my tapering off plan tonite. I have a month or so to hopefully get myself together. Heres hoping

  81. I failed to mention in my previous post – the DEA classification of tramadol is changing in Ohio. This is not a national change.

  82. Hello. I would like to share my particular experience and may appreciate any feedback if possible. I was given tramadol for a rotator cuff injury 4 years ago. I have not been without in 4 years as my dr. continually refills my script. As of Sept 1st, Tramadols DEA classification is changing making it so that refills are not allowed and that in order to refill, one must visit the Dr. I decided this is probably my window for quitting as one of the things that made the addiction easy was I didn’t really have to do anything to get the pills but call the pharmacy. Despite using for 4 years, I have never been on large doses. The most I would take in a day was 100 to 150 mg twice a day (2 pills in the a.m/2 in the p.m. – every so often an extra) So I began a reduction plan.
    I am allowing 2 weeks for each reduction and dropping a quarter of a dose each time. I am currently at 50 mg in a.m. and 50 mg in p.m. I have to say, this particular drop is hard and today I have cheated and taken two extra. Here is the thing – it wasn’t hard in terms of getting sick but mentally I wanted to feel that little warm buzz.
    Three weeks ago, I started listening to addiction hypnosis programs at night, and while I don’t believe that they will “cure” my addiction, I do believe that my reduction plan has been easier with that little extra push. I don’t know about the efficacy of hypnosis but I do believe that if I believe it will help me, it will. I also believe that just listening to the program over and over again, every night is helpful in tapping on my subconscious.
    So I do have a history with opiates. Twelve years ago, I was a heroin addict. I quite cold turkey by picking up and moving across the country. It was pretty awful but I did it. The memory of that withdrawal has me terrified. I have gone from being angry at myself for allowing addiction into my life again but I have learned to forgive myself as well. There is only one other person that knows about my addiction and this is the first time I have ever talked about it on an internet forum. But after back pedaling tonight I thought maybe I could use some more support.
    I am trying to stock up on things to help with the withdrawal – Xanax, muscle relaxers, and herbal remedies such as wild lettuce and Valerian. If anyone has any other suggestions of herbs, meds, etc…please let me know. Also, has anyone experienced detoxing while taking low doses versus high doses? Is there much of a difference?

  83. Hi Richard. Here are two places you can search for a treatment center that fits your needs and is near you:
    Considering your age it might be risky to do it on your own. You might also consider consulting your general physician to give you a better referral to a detox clinic or a treatment facility. Those places are best, since they provide round the clock medical support and monitoring. Keep us posted and BEST OF LUCK!

  84. Hello Crystal. Given the amount of dosing and the period of time you’ve been using tramadol, you might want to look into a medical detox in a 24 hour supervised clinic. While your use may/may not be compulsive…you can benefit from medical supervision during withdrawal and all of the amenities of a medical setting (including Rx drugs, if possible).

  85. I’ve been taking Tramadol for 7yrs. At first it was one or two at a time, NOW, its 20 at a time. In the past 7 yrs i have not went no more than 2 days without! On that second day, i was tremendously sick! It has taken over my life!! Its no joke to withdrawal from tramadol and its not easier to deal with. I use to take it for pain but now its a habit and i don’t know how to cope? If i go to a Dr i think they will just tell me to “wean myself off” because they think its a less addictive drug. I want to quit NOWWW! If i quit, i know i will suffer horrendously. What can i do??

  86. Hello Kelly. Tramadol is considered to be the least risky of all opiates/opioids, and withdrawal from tramadol usually is not treated with other pharmaceutical drugs. Is withdrawal cold turkey or tapered?

  87. my dr has had me on tramadol for 8 years i can deal with all withdrawals except my legs jerking and feeling funny and my lower back hurting so bad i cant rest what can i take to help with this

  88. I don’t know what is going to happen to me. I am 70 years old and want off Tramadol. I want to use homeopathic help. I am tired of medicine being pushed to me by MDs using Western Medicine for my problems. Any help in the homeopathic community??

  89. Hi Fred. A family doctor who prescribes tramadol can help prepare a tapering calendar individualized for your unique situation. But if you’re interested in seeking the help of a specialist to get off tramadol, see a pain management MD.

  90. Hello Jake. The best thing to do at the moment is to treat tramadol withdrawal symptoms supportively. Try NSAIDs like Tylenol, Advil, etc., warm showers or baths, and massage. Check with a pharmacist for more over the counter aids.

  91. I am experiencing tramadol withdrawl now. I was taking at least 6 pills a day. I have none left to taper off. What should I do?

  92. I have been taking Tramadol for ten years…due to severe chronic neck pain, which is the result of a birth defect (which is called “severe reverse curvature of the neck”). I am unemployed and do not have insurance or much money. So I am extremely limited in what I can afford as treatments…like prescriptions. I have been trying to get off of it the last five months. I suffer from extreme muscle spasms and leg pain. My doctor has had me on some five different medications to help…but none of them have worked (like Zoloft, Cymbalta, Baclofen). I’m in need of any information you can provide. Thank you.

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