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  • BDD Moderators: Keif’ Richards | negrogesic

Tramadol to help get off Tapentadol?

One thing that used to be good for the ceiling effect was glutethimide. One took it with codeine, dionine, dihydrocodeine, nicocodeine, hydrocodone, or thebacon and they would hit harder because more was turned into their stronger metabolites. Wash it down with Coca-Cola on an empty stomach and it would feel like shooting Miss Emma, D, nicomorphine, dihydromorphine, and so forth. Mix in some of your other favourite things -- speed for some people, nitrazepam for others, tripelennamine for me and a following of Blue Velvet people I built up from spreading the word, and one fellow I know liked to take his Dors & Fours with acid for some reason. Glutethimide was really good with paregoric and DTO (laudanum) too . . .
 
Lorne??? said:
Maybe your an ultra rapid metabolizer, but the ceiling is 500-1000mg. Beyond that a normal persons liber cannot process it.

It's just a medical fact. , but a small % have ultra rapid 2D metabolism, maybe you fall in this group

And only the opioid effects have a ceiling, not the AD effects
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So in theory the tramadol is like taking a step down from morphine to codeine and tapering that down, but if there are problems one is having with tapentadol, they would probably with the tramadol depending on what the problem was -- seizures are a big one -- so one can get a recommendation on an anti-convulsant (which will increase the analgesic effect of both and other narcotics as well) or anti-seritonergic, but changing to something like hydrocodone or codeine would be the best -- hydrocodone does not have an analgesic ceiling and therefore is more scalable for this use. Carbamazepine, however, will start out by interfering with the tramadol to the extent that it eliminates 50 per cent of the narcotic effect.

Something which I had a good effect with when I was having dizziness from too much tramadol was cyproheptadine (Periactin), a piperidine antihistamine which has anti-seritonergic effects. If you can still get phenindamine (Thephorin, Nolahist) where you are, it is even better as it is a close relative of cyproheptadine which feels like narcotics to varying degrees based on the route of administration and so on. William S Burroughs got it in the Lexington Narcotic Farm and said it felt like M, and I have had more modest but still nice results mixing it with tramadol, dimenoxadol, ketobemidone, codeine, and morphine.

Though promethazine does too, since it is a phenothiazine, it can block dopamine with all those problems and interfere with the analgesia.
 
Tee Tramadol: it's a weird one! Ten years ago had viral arthritis and was taking it everyday for months but stopped without difficulty. Another time my GP gave it to me to help me get off codeine (but that's another story)
There is something odd about my metabolism because phentonyl, for example, has no effect on me at all. while in hospital I was on phentonyl post operatively, did absolutely nothing, and nurses were implying I must be a hardcore junkie...anyway luckily pain specialist was well -informed and told me some people metabolise phentonyl so fast that it doesn't have a chance to take effect. After that I was changed to hydromorphone drip for a couple of days, then Oxy. Must say, having never had Oxycontin before, I didn't think it was much to shout about, but then again they were giving me only very small doses (5mgs or 10 if I was lucky). In the end I got my brother to bring in panadeine forte (codeine 30 mg tabs) and I took those on the sly and they worked better than anything else for pain....
 
justdifferent said:
Tee Tramadol: it's a weird one! Ten years ago had viral arthritis and was taking it everyday for months but stopped without difficulty. Another time my GP gave it to me to help me get off codeine (but that's another story)
There is something odd about my metabolism because phentonyl, for example, has no effect on me at all. while in hospital I was on phentonyl post operatively, did absolutely nothing, and nurses were implying I must be a hardcore junkie...anyway luckily pain specialist was well -informed and told me some people metabolise phentonyl so fast that it doesn't have a chance to take effect. After that I was changed to hydromorphone drip for a couple of days, then Oxy. Must say, having never had Oxycontin before, I didn't think it was much to shout about, but then again they were giving me only very small doses (5mgs or 10 if I was lucky). In the end I got my brother to bring in panadeine forte (codeine 30 mg tabs) and I took those on the sly and they worked better than anything else for pain....
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justdifferent said:
Tee Tramadol: it's a weird one! Ten years ago had viral arthritis and was taking it everyday for months but stopped without difficulty. Another time my GP gave it to me to help me get off codeine (but that's another story)
There is something odd about my metabolism because phentonyl, for example, has no effect on me at all. while in hospital I was on phentonyl post operatively, did absolutely nothing, and nurses were implying I must be a hardcore junkie...anyway luckily pain specialist was well -informed and told me some people metabolise phentonyl so fast that it doesn't have a chance to take effect. After that I was changed to hydromorphone drip for a couple of days, then Oxy. Must say, having never had Oxycontin before, I didn't think it was much to shout about, but then again they were giving me only very small doses (5mgs or 10 if I was lucky). In the end I got my brother to bring in panadeine forte (codeine 30 mg tabs) and I took those on the sly and they worked better than anything else for pain....
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Cypriheptadine is a great antihistamine and anti-zero, it saved my life once from serotonin syndrome, idk why it is so rate
 
C
justdifferent said:
Sorry may have accidentally posted twice. Basic question was -seen Ng that Tramadol doesn't cause physical dependence on me personally (I know it does in some people) - would it mitigate w/d from Tapentadol? Is this a dumb idea?
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ugh came unstuck today. Just swallowed the last of my IR Tapentadol because, ironically, got tired of being tempted to take the last of my IR Tapentadol!
Still got enough SR tabs to wean, I think. I hope, please God, that I'll have the strength to avoid binging on the SRs in a weak moment...
 
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