Coming off Tramadol

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Hello all,

I am after some friendly advice. 12 Jan I had a riding accident, hurt my shoulder. It was previously injured (dislocation/fracture of humerus) and it's been weak ever since. Doc put me on cocodamol as of 14th, and then on the 17th I was back at docs because they were making me sick. He put me on tramadol. 2x 50mg tablets three times a day.

I wasn't warned about any possible side effects, other than they may cause drowsiness.

11 weeks later, I can't kick it. I no longer require the tramadol for pain. They tried a weaning programme. I was given Tramadol SR tablets. I cut from 300mg a day to 200mg. One tablet morning, one tablet evening for a week. The week after I was cut down to 100mg tablet in the morning, then nothing.

I lasted a day before I used some left over regular tramadol.

The effects were horrific when I initially changed the dosage, but I thought it would be okay with cutting down and then coming off completely. I was ready for some side effects, but not what happened in reality.

Headaches, nosebleeds, sickness, sweats, freezing cold, aggressiveness, exhaustion, tearful, restless, insomnia.

I had some very very dark thoughts that I haven't had in years. I took the tramadol and felt ten times better.

I have a doctor's appointment today, but they tend to be as much use as a chocolate teapot. Any recommendations or information you think will be helpful to take with me is greatfully appreciated.

A nurse over the phone expressed she thought that the time frame for coming off them was too short, and the leap from 100mg to none was too much.

Please help.

I know I have a problem, but I'm scared to come off them and become the horrid, nasty person I was at the weekend. My rational thoughts tell me once I stop for good I'll be back to normal, but I don't have those rational thoughts when I try and come off them. I need them to cope with the most simple of tasks.

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  • Posted

    Stay strong, i was on this drug for 4 years 50mg 8 times a day, i wanted to get off it with docotrs help but they would not help so done it all on my i am clean after a year.

    Stay strong

  • Posted

    Thanks for posting this I thought I was being a Hypochondriac.  I have been on Tramadol for a month for a trapped nerve, but the pain has gone and I am just left with aches.  I have stopped the Tramadol as I have run out and am too tight to buy more.  

    I had similar side effects.  The first time I stopped last week I had a full blown cold, was freezing and feeling sick, all my toilet functions were in overdrive.  At bed time I couldn't stop moving in bed so I came downstairs to read for a while, after a couple of hours I decided to take a couple of Tramadol and within 1/2 hour I was OK.  The next day I felt great and the cold had gone.  So I just started taking them at night time until I ran out.  That was 3 days ago.  I have now been sicky for 2 days, have really vivid dreams that are quite troubling (FFS I was being held captive by the Sons of Anarchy), and usually have to get up in the night for a couple of hours.

    Just wondering if anyone out there knows how long will it last or should I get more pills?

  • Posted

    I originally posted this in  reply to a member but will post it here as perhaps other posters may find some indentification.

    I'm a former Tramadol addict so have some experience that may or may not be helpful to you.

    I originally started taking Tramadol for Sciatica and was ( I believe mistakenly ) prescribed a high dosage of 300mg a day. When I first started taking them I realized that I really enjoyed them, they gave me a sense of euphoria and I immediately recognized the potential for addiction. I Ignored the warning signs. 

    My Tramadol was prescribed fortnightly and it wasnt long before I was seriously abusing my prescription, taking 600-700mg per day until my prescription was running low and then eeking out my remaining capsules until it was time to get my repeat.

    After about 8 months of this I was more or less housebound without even realising it. Tramadol took away my motivation to do anything other than vacantly stare at the TV or computer screen. As long as I had my Trammies, everything was hunky dory.... except it wasnt. I was neglecting my family, my financial responsibilities, my basic level of hygiene and my responsibilty as a human being to make the most out of life and find new experiences.

    Eventually I suppose the Dr realised his mistake and cut my prescription in half. I didnt even notice until my prescrition ran out a week before it should have done. Thats when I experienced Tramadol at its worst for the first time. 

    Having read of the experiences of a variety of people I think withdrawl differs from person to person but with some common themes. I experienced extreme dizziness, aches all over my body, very dark thoughts ( suicidal thoughts at times ), a disinterest in everything, insomnia, sneezing fits, restless leg syndrome (restless legs, insomnia and dark thoughts made for some terrible nights ), a sense of impending doom, exhaustion and other symptoms.

    I suffered these symptoms for a week until I could get my next prescription, having decided that I would use my next prescription to taper of properly. Of course I abused my next prescrition too but manage to make sure I had enough to reduce my dosage gradually so that I'd be taking 50mg on the last couple of days before my next scrip was due. This of course meant that i'd be high as a kite of the first few days after recieving my prescription and then experiencing withdrawls at varying levels until I got my next one. 

    I managed to maintain this ridiculous behavior for about two and a half years, forever promising myself that the next prescription would be my last.

    I haven't taken any Tramadol for about 4 months.

    I will never take Tramadol again.

    I finally stopped when I simply couldn't take the withdrawls anymore, I was more or less constantly ill and a slave to my prescription. 

    People will have different things that work for them but here's how I did it. I prepared myself mentally as best I could but simply accepting that I was going to be very Ill for a while, I spent about five days in bed eating only the most nutritious food, I made sure I would have plenty to occupy my mind ( Netflix was an invaluable tool  [biggrin] ) and I got a supply of night nurse to help with the long nights ( this is something I'm definately not recommending ).

    After about a week ( yup thats all, just a week) I was starting to come around, I was still emotianal at times and the dizziness remained with me but the exhaustion, restless legs and dark thoughts more or less disappeared. 

    The next part of my recovery involved changing my lifestyle, I knew that if I didnt change my daily habbits then I was more likely to relapse. I got myself motivated and went out looking for work to make sure I'd be busy, it took me two months to find work but the important thing was that the act of focusing on it kept me away from the Dr's during the dangerous early days.

    I would say  that after about three weeks of abstainance I felt fantastic. I dont mean that I felt healthy ( I did feel healthy for all but the occaisional dizziness ), I mean I felt ALIVE. I had tons of motivation and was fully enjoying the smallest details in my life. Engaging conversation, fascinated by reading, music came to life again. I didnt even realise I had been missing out on these things while I was stumbling around in a cloud. Tramadol had deadened my senses and now I was making up for it and soaking up everything around me.

    I'm not a medical proffessional but would simply suggest that if there is any other way to manage the pain then you should be carefully weighing out those options.

    Four months down the line I still experience dizziness from time to time but its fairly insignificant. I found Tramadol difficult to withdraw from but it is definately the most positive thing that i've done in my life in recent years. 

  • Posted

    Thanks Denzien, it's so scary isn't it?  I'm on day 4 without, was still up for a couple of hours last night, still feeling sick until about 2pm today but no bad dreams.  Hopefully I'm getting there.
  • Posted

    Probably a bit late I know, but Im sure there are 100's of other trying to come off tramadol..

    i read posts from people talking about weeks to taper off! It took me months... i came off about 3 years ago now but I remember dropping 50mg every couple of months... when i finally dropped from 50mg to nothing i made sure i was on holiday and took no meds with me (temptation os too great).... if did have minor withdrawl symptoms dropping from 50mg to none but kept myself occupied, swimming, skorkling, climbing, watersports etc... by the time i got home after a week i was fine...

  • Posted

    Hey Liz, how are you holding up?? I hope okay.... You're my new hero and I tip my hat to you. Actually I'm envious because I wish I could jump into day four of my eventual nightmare. As I was telling Denizen I am on a ledge wanting to jump and I just keep hanging on. I cold turkeyed off methadon 6 six years ago and I've had a preview.I have been telling myself that since this is only tramadol that it will be a snap but it's not sounding like it. I knew I was bullsh*tting myself because the high was just like methadon. I'm happy about finding this site, although I wasn't looking for it. Divine Intervention???? If so thank you lord. I am getting closer to taking the step each day (This sounds like such bullsh*t while I am writing this but...)  after listening to Denizen and others talking about having their life back....memory, senses, sex, motivation and some closure it sounds sooo good.. So Liz...please hang in there and this little scar will definitely be a little red flag about doing things that are not good for you....... Okay enough....I am going home to lay in bed thinking about you guys and that i am such a p*ssy
  • Posted

    you have been taken off this drug to quickly, tramadol withdraw'ls are the worst- they are comparable to heroin wd's you need to get your doctor to take you off it over a period of weeks . the problem with tappering off it is that the lowest dose of tablet commonly available is 50mg. you may have to split these to reduce the dose slowly- i am sorry but the worst time will be when you drop below 100mg- i have learned this by experience , i was taking 1000-1200 mg a day. the wd's were just as you described- horendous . i have done alcohol detox on numerous occasions and that was child play compared to tramadol wd's. Many doctors are not aware of the wd's from this drug. You may need to find a doctor who is experienced in addiction to help you come off safely. Do NOT ATTEMPT to come off this drug on your own-WAY to dangerous.
    • Posted

      So, I am taking 150mg per day, occasionally 200mg, and have been at this doasage for a couple years. I take it for pain only, and only as needed, that is to say only when the pain gets so bad I can't function, which is usually evening to night. The question is, I really need this to manage the pain, which is barely tolerable as it is in my life. (Lyme Disiease/Fibromyalgie/Chronic Fatigue). I don't get any kind of "high" from it, but do notice that if I don't take it on the evening, not only does my pain get worse, but I also get much more irratible and my tolerance for anything or anybody anoying goes way down. I feel like the tramadol relieves both the phystcal and mental pain. I see no real reason to stop taking it, though, thinking about my low level of tolerance if I don't take it. I geuss that because it is harder to get off it if you are addicted, I should be worried, but is it something I should really be worrying about? Or can I continue being worried with just the minor everyday probleems?
    • Posted

      Just to clarify: I take 150mg-250mg per day, usually one 100mg Time Release tablet in early eve, and then one (to two) 50mg capsules later in the night. I don't get a "high" from it, don't look forward to it, and don't feel "addicted" -- but am still worried about getting off of it.. .Should I be worried about being addited?
    • Posted

      one of the main indicators of being addicted to any substance is if you experience withdrawl symptoms when you miss a dose or stop taking it- the amount you take is irelevant as everyone has different tolerance levels- i have a high tolerance as i had been taking high doses of various opiates for several years- i was also taking 600mg codeine  a day along with the tramadol- obviously you require pain medication and unfortunately many of the most effective pain medications are opiates- if the drug is working for you and you are taking less than the recommended daily dose (400mg) and dont feel a need to increase that then you seem to be doing ok on it- after 2 years you will  have a physical dependance - that will be the same with any opiate based drug after long term use- if you are worried then perhaps you should talk to your GP- be advised that many GP's are not aware of the effects of long term tramadol use - it is basicalt a synthetic form of opiate and therefore marketed as being low risk as regards addiction- this being hotly debated in the USA at the moment where it is sold under the brand name Ultram - i would strongly advise you to talk to your GP about this but DO NOT take yourself of it - some people are seceptipal to seizures when coming off this drug - i hope this is of some use to you Nebula
    • Posted

      Thank you pmcg21, I really wonder, though, if it is ok to stay on this like forever for chroinic pain if you don't ever go past 200 (in my case), but no sign that the pain witll ever go away. I don
    • Posted

      (sorry,, hit return by accident) I don't like the thought that I might have chronic pain forever, and I don't believe I will, but if I need it to function, what will it do to my body at 200mg/day over many years, I wonder?
    • Posted

      Personally, I think it's okay to be dependent on a painkiller if it is necessary, and managed well. If you think you may need them for the rest of your life, the main thing to be concerned with is tolerance. It is natural to develop some tolerance, so you must make sure to minimize it. I was on hydrocodone (dihydrocodeinone, in UK) steadily for over two years. At the end of that I had to take about 25% more to get the same effect. But I was still within prescribed dosages.

      Which brings up a little possible good news. Long before that two year period, I had been taking pain meds whenever I could get them for chronic (>20 years) back/neck pain. I really thought I would have to be on them forever. But now I seldom get that so badly that I need help. And I din't have any trouble getting off the hydrocodone when it got cut off. (But it did get cut off. Not my idea. :-) ) So, I have now taken pain meds, off and on, for over 30 years, but yet I seldom need any more than 10 mg of hydrocodone for severe pain. And I never have withdrawal symptoms. This is all because I carefully managed my therapy.

    • Posted

      i am surprised that your medic has left you on tramadol for so long- they normaly try to alter pain medications or at least adjust the dosage to prevent a build up of tolerance and/or dependancy- as to the long term affects of staying on Tramadol- i have no idea- i am not sure that it has been in use for long enough for there to have been any studies done on it - i may well be wrong about that- i suppose your main issue is managing your pain, long term, a visit to a pain clinic/consultant might be an idea- they have so many options now for pain management- It sounds to me that you have a pretty good handle on the situation and are aware of the implications of taking tramadol- it really is a judgement call - do the advantages of taking the medication out wiegh the possible risks and what effect is taking this medication having on your general wellbeing really. nobody can really answer that, only you will know what way the T is effecting you, physically and mentally.
    • Posted

      In the US Tramadol was just recently moved up in the levels on controlled substances because more & more people were having addiction issues with it. I fooled myself into believing it was less addictive than other opiates years ago, & now I'm paying the price. It doesnt give you the same level as euphoria as othe stronger pain meds, but I feel personally it's physically as addictive, & possibly psychologically more addictive. I think my brain needs it more than my body, not just in how I think but also chemically how my brain thinks. It always seemed more like an antidepressant to me & the withdrawals seem to back that up. It effects me spiritually as much as physically & I just dont want to be dependent on it anymore. I know I'm an addict as oppose to someone who needs to use it for pain management. In that case I think it's probably a wonderful drug. 
    • Posted

      You raise a really good point & are right on-- tramadol is classified as an SNRI (serotonin norepenephrine reuptake inhibitor) and works on your serotonin system rather than acting directly as an opiate agonist.  Most antidepressants being used today are SSRI's, but having been on both SSRI's & Tramadol & a host of other meds for bipolar disorder, I have also noticed the similarities in effect & withdrawal symptoms. Like many other pharmaceuticals, we don't REALLY know HOW they are working, so it's a mystery what's going to happen once you remove this substance that has deeply altered the way that your brain functions & your neurotransmitters behave.  It has a huge impact on your mood & makes it SO hard to taper... i felt like i would fall into an abyss of doom/depression/darkness coupled with out of control anxiety every time i would cut down.  Traditional opiates are much more clear-cut w/their withdrawal symptoms & cause a lot more body pain/fiending mindset, but also seem to leave LESS lasting problems-- at least as far as I have seen in myself & friends I have helped.  

      plant medicines and supplements can be a huge help!!!! they will help your brain rebuild itself, which, with something like tramadol, is really really necessary, can help you feel like a whole person again.  Let me know if anyone is seeking info about plants that can help.... have a lot of experience in the area. good luck to you all, keep going. it's so hard!! i've been off this stuff & all other meds for 2 yrs now & doing great!

    • Posted

      I felt the same way Neb but the truth of the matter is if you stay on Tram you will increase the dosage. ...... I CAN PROMISE YOU.......WHEN YOU START THINKING " OH WELL i JUST KEEP DOING IT" that's the addiction voice trying to rationalize it.... It's natural ..... I remember when I was taking 2 (50Mil) a day. One day I couldn't remember if I took my pill and so I did another one. I really felt good and i finally realized I had taken the pill. Then occassional I would do an extra capsule just to check it out...Well you know the rest....Then wokle up realizing I was doing10 (50Mil) a day. I will never ever go over that amount for sure...four years later I am taking 60 (50Mil) a day. My first thought was ...let it ride but something inside is not okay with that. I just haven't built of the courage to fight the demons. I cold turkeyed Methadon about 10 years ago. Now I realize I have to do it again and I am really sweating it. When I kicked the methadon I had no idea what was coming...If someone had told me I probably wouldn't have  been able to talk myself into it. Dude I'm flatass scared. I really want to stop but to do that I have to go fight a REAL demon for 5-7 days and get a major ass kicking as well. Have you ever notice that when you are high that quiting seem like it wouldn't be hard....lol.....I'm not trying to scare you Neb but If I was doing 4 (50Mil ) a day I would do it right now...I mean it. Because you will keep increasing the dosage...I promise you....and there are a lot of side affects...I don;t know if you are experiencing any.... Memory gone, No sense of smell...can't smell anything, lethargic, 0 desire to have sex..but I do think about it but don't have the drive to make it happen, Now My leg is hurting and I thought it was a bad sprain but the more I learn about this, the more I think it might be that Scatia .... Okay Neb this note was the good news...are you ready for the bad news......lol....just joking bro.... I hope you can make a stand soon....and me too
    • Posted

      I am from the US, with the new regulations on Tramadol my Doctor will no longer prescribe them. I have been taking them for 20 months, 50 mg three to 4 times a day. I have tampered down and am taking 25 mg once or twice a day depending on my pain level. I have one 50 mg pill left. I am planning on cutting it to make it last two more days. So far other than the pain, I am ok, I am having a hard time getting anything done, getting a little depressed that I will have nothing to take to relieve the pain. I don't want to bore you with all my health issues and what is causing the pain, I also don't take narcotics, don't drink, don't smoke, I also can not take antidepressants, nerve meds such as neurontin, or anything that makes me tired. I would like some advise on supplements and or plant medicines to help with any tramadol withdrawal I will have when the tramadol is gone and something to lessen the pain if possible.
    • Posted

      What did you start taking the tramadol for, ladav? It might be helpful to give you some more specific recommendations.  It sounds like you might have some nerve issues? If you'd like to you can PM me with some specifics that might help, but a tincture of Tulsi (aka Holy Basil) is what came to mind.  Tulsi can really help to alleviate some of the depression & improve mood/outlook. It's also mildy anti-inflammatory and soothing without being at all sedating & will help your body/brain recover from the SNRI effects of tramadol. 
    • Posted

      Ive really messed up my brain chemical by taking 12-15 a day for almost 4 years. Since it was unregulated in the US I basically could get as many as I wanted. I tried to stop cold after cutting down to 4-5 a day over 2-3 months. It was impossible for me. Dr gives me enougb for 3 a day now. Heading back to the Dr to ask her to put me on an SSRI to hopefully lessen the blow to my brain as I continue to try to taper. I think it's the only way I can do this without the depression making suicidal. Even trying to stop cold shocks my brain. In essence I consider myself to have brain damage from abusing this drug. I also think other opiates are easier to rebound from. Been there, done that. My faith is all that keeps me alive but even that becomes hard when the depression gets severe. 
    • Posted

      I am truly taking tramadol for pain, although I definitely notice a better outlook on life as long as I keep to about 3-4 (150-200mg) per day - this is why I have been worried about getting off of it because the pain returns when I don't take it, but I have found the natural pain reliever Serrapeptase to make the pain less while imprvomg the side effects.

      I am steady at 2-3 a day now... will try to go down more with this in mind. 

      Addictions is such a scary thing. Try this to go slowly don. I willl report more with time.

       

    • Posted

      3-4 a day seemed easy for me too. As soon as I went below that my body started complaining big time. I also think what's important is the maximum amount that's in your body at any given time, so it's important to stretch your doses out. So taking 2 at a time is no different than taking 8 a day even if you still only take 3 in a 24 hr period. 
    • Posted

      I had a disk in my back fracture, a piece of the disk ended up on the nerve to my leg. I went misdiagnosed for a month until I lost the feeling in my leg and started to loose use of it. By this time I was in no pain and that's when the doctor  decided to do a MRI. I was is surgery 4 days later, that was three years ago, the surgery was successful, not all but most of the feeling and use of my leg came back with therapy. Keep in mind the only meds I took  we're robaxin for the spasms in my leg and a small amount of hydrocodone 5/500 for a few days after surgery. Slowly my leg started getting bad again and now my back hurt all the time. I was sent for more therapy and three different injections. Nothing was helping, they suggested an implant, I said no, That is when they suggested tramadol, I was very hesitant about taking them. It took me three weeks after The doctor gave me the tramadol, to even try it. Much to my surprise it worked and I had no adverse side affects from it. Then things got worse and I was referred to another surgeon.  it ended up I had developed a bone spur and scar tissue from the first sugery, so I had a second surgery  in May to remove it. The second surgery again was successfull, my leg is better but my back is bad. I do have schuermans disease, diabetes, high blood pressure, non alcoholic fatty live disease, glaucoma, and the worst of them all ulcerative colitis controlled now by having no lower intestines sense 1973. I do not feel depressed, maybe a little agitated, but am happy to be alive, I have a good life that I sacraficed and worked hard for. I do not take narcotics because I like them too much, they are a cure all for me, I don't take other meds because my job requires my mind to be clear, making a mistake is unacceptable. I am now in a great deal of back pain, not sure why, probably because the disk in my back that fractured, or maybe the two surgeries, I will end here fr now, good Luke to all.
    • Posted

      I found that when I got down to one a day, that taking 1/2 a pill twice a day worked best. The same with 1/2 a pill, take 1/4 a pill twice a day, caused less withdrawal symptoms.
    • Posted

      I looked up serrapeptase hoping that might help, but the tablets have to be coated because of the acid in the stomach. That will not work on me, I have no lower intestines, so the pill will be out of my system before the coating melts off, too bad, everything else about it sounded good.
    • Posted

      UK residents apparently do not have that option, as they can only get capsules.
    • Posted

      We can still go lower than 50mg. You just have to open the tablet and take half the powder out.

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