Opioids Fluoxetine for Tramadol withdrawl

[CoastTwoCoast]

yeah, that's about it, you got to tought it out with the brain zaps, but I propose the manning up when you are at a much lower dose

Haha, I took Tramadol to help me come off my Cymbalta more easily years ago. I don't think trying it the other way around is safe or a good idea. Nothing really seems to take care of the brain zaps though, I've had them a bunch of times from stopping a few different drugs and they seem to be a discontinuation symptom you just have to deal with to a greater or lesser degree. Or at least I've never found any way to stop them other than taking more of whatever I'm WDing from I suppose.

I didn't have any brain zaps at all when I used kratom to quit tramadol. I had been on high doses of tramadol for years.

 

[CoastTwoCoast]

If you can obtain codeine that's probably the best thing to use for tramadol withdrawal. It won't help with the SNRI side of things but it'll help taper off the opioid properties for sure. I've even used codeine to help me get off oxy.

Depends how well you metabolise it how well it works, but most people will metabolise enough codeine into morphine that it will help with tapers, especially when you're coming off another weak opioid like tramadol.

Best of luck. And if I was you I'd move away from tramadol altogether due to those seizure risks.

Tapentadol is similar to tramadol and more potent but has much less seizure risk since it's an NRI not an SNRI, so it has no serotonin activity. If you can get tapentadol, it will be an improvement in the sense that you won't be risking seizures.

OP could use codeine or any opiate in that case, but kratom is a natural plant and easy to get. It's better and easier than seeking out an actual opiate to use.

 

[Wilson Wilson]

OP could use codeine or any opiate in that case, but kratom is a natural plant and easy to get. It's better and easier than seeking out an actual opiate to use.

Not sure what is easier to get in OP's country but yes kratom is a good option too.

Wouldn't say there's too much difference between the potency of kratom and codeine though to be honest.

Also codeine is extracted from a "natural plant" as well.

 

[CoastTwoCoast]

Not sure what is easier to get in OP's country but yes kratom is a good option too.

Wouldn't say there's too much difference between the potency of kratom and codeine though to be honest.

Also codeine is extracted from a "natural plant" as well.

True about codeine being extracted from a plant, but kratom is still more natural. You know what my point is dammit. lol

 

[Zonxx]

I honestly don't think it will help much. When I quit tramadol after 8 months of 1000mg a day I transitioned to loperamide which worked pretty well at high doses (~80mg/day). I can't recommend this in good conscience however since loperamide is dangerous at high doses.

What dose of tramadol were you taking?

shit... how did you manage this? you might be a superhero, i'm on high-dose pain managment and i remember taking my dogs tramadol cause he'd passed away (had leg /nerve pain) so i figured fuck it, 1200 mg tramadol, 3 hours of goodness that was expected followed by a whopping 16 hours of the worst nausea in my life that only ridiculous bong rips would help

If you can obtain codeine that's probably the best thing to use for tramadol withdrawal. It won't help with the SNRI side of things but it'll help taper off the opioid properties for sure. I've even used codeine to help me get off oxy.

Depends how well you metabolise it how well it works, but most people will metabolise enough codeine into morphine that it will help with tapers, especially when you're coming off another weak opioid like tramadol.

Best of luck. And if I was you I'd move away from tramadol altogether due to those seizure risks.

Tapentadol is similar to tramadol and more potent but has much less seizure risk since it's an NRI not an SNRI, so it has no serotonin activity. If you can get tapentadol, it will be an improvement in the sense that you won't be risking seizures.

Codeine is more physically addictive, i would still agree with using it to taper from something like tramadol as long as one keeps an eye on dose, 30mg = 5mg morphine give or take how you metabalize it which could be more so 300mg per say is 50mg-potentially 100+mg of morphine when metabolised and at that level it is still addictive but easier to taper than morphine itself, but i eat those tabs like candy and Theyre the same thing as Morphine, I advise caution using codeine it can have very similar or worse wd symptoms depending on dosage while it won't be as bad in terms of tramadol.

 

[Zonxx]

those problems you got since your adolescence can't be covered forever, you have to deal with them , so in the end you are not using it for the opioid properties

This. even if my pain levels aren't too bad, come the 10 hour mark, i take those meds or else im out of whack, nontheless, i've taken about 16 days less of meds over the last 2 and a half months, so its a thing that takes work, you have to taper properly according to your needs and assess yourself which is what a doctor would ask all these questions and instruct you how and when to dose accordingly, but you are motivated to cease use which is probably the most important

 

[CoastTwoCoast]

shit... how did you manage this? you might be a superhero, i'm on high-dose pain managment and i remember taking my dogs tramadol cause he'd passed away (had leg /nerve pain) so i figured fuck it, 1200 mg tramadol, 3 hours of goodness that was expected followed by a whopping 16 hours of the worst nausea in my life that only ridiculous bong rips would help

Codeine is more physically addictive, i would still agree with using it to taper from something like tramadol as long as one keeps an eye on dose, 30mg = 5mg morphine give or take how you metabalize it which could be more so 300mg per say is 50mg-potentially 100+mg of morphine when metabolised and at that level it is still addictive but easier to taper than morphine itself, but i eat those tabs like candy and Theyre the same thing as Morphine, I advise caution using codeine it can have very similar or worse wd symptoms depending on dosage while it won't be as bad in terms of tramadol.

Yep, that's why kratom is the better choice instead of something you can take like candy.

 

[supersonic89]

yeah, that's about it, you got to tought it out with the brain zaps, but I propose the manning up when you are at a much lower dose

How many days have you been without Tramadol, man? How many days do brain zaps last? Do you still feel them? The last time I stopped taking Tramadol the worst thing was insomnia and tremors. When I have not take my morning dose, I do feel those annoying brain zaps.

Not sure what is easier to get in OP's country but yes kratom is a good option too.

In my country it is quite easy to buy Kratom. The problem is, I must buy it online and wait for it to arrive in a few more days. I live on a small island far from civilization hahaha. Actually, Tramadol and Kratom are the easiest opiodes to get here. Tramadol is quite cheap. It is sold in pills and oral drops. The bottle of oral drops is 100 mg/ml. In total it is 20 ml, so it would be 2000 mg per bottle. One of these bottles lasts me about two days maximum. A few months ago, I was also without Tramadol for about 10 days but I got some Bupe patches and did not feel any withdrawal symptoms. However, they were quite expensive and I started abusing them (chewing them). Unfortunately this time I couldn't get them.

shit... how did you manage this? you might be a superhero, i'm on high-dose pain managment and i remember taking my dogs tramadol cause he'd passed away (had leg /nerve pain) so i figured fuck it, 1200 mg tramadol, 3 hours of goodness that was expected followed by a whopping 16 hours of the worst nausea in my life that only ridiculous bong rips would help

In my case, I was gradually increasing the doses. A month ago, I consumed 1000 mg maximum and now I am at 1500 mg. I have never felt nauseous, except once I took a dose of 1000 mg within 1 hour. The other time I felt really nauseous and bad was when I use my last Bupe patch and did not wait long enough and I took Tramadol. The consequences were dire: I puke my brains out for about 2 days lol.

Well, I just took my last dose of Tram. All I have to get through withdrawl is Ibuprofen and Fluoxetine. Hopefully tomorrow I can get Venlafaxine (structurally similar to Tramadol) and maybe some benzo to sleep. All this while I wait to get to Kratom.

 

[Zonxx]

How many days have you been without Tramadol, man? How many days do brain zaps last? Do you still feel them? The last time I stopped taking Tramadol the worst thing was insomnia and tremors. When I have not take my morning dose, I do feel those annoying brain zaps.



In my country it is quite easy to buy Kratom. The problem is, I must buy it online and wait for it to arrive in a few more days. I live on a small island far from civilization hahaha. Actually, Tramadol and Kratom are the easiest opiodes to get here. Tramadol is quite cheap. It is sold in pills and oral drops. The bottle of oral drops is 100 mg/ml. In total it is 20 ml, so it would be 2000 mg per bottle. One of these bottles lasts me about two days maximum. A few months ago, I was also without Tramadol for about 10 days but I got some Bupe patches and did not feel any withdrawal symptoms. However, they were quite expensive and I started abusing them (chewing them). Unfortunately this time I couldn't get them.



In my case, I was gradually increasing the doses. A month ago, I consumed 1000 mg maximum and now I am at 1500 mg. I have never felt nauseous, except once I took a dose of 1000 mg within 1 hour. The other time I felt really nauseous and bad was when I use my last Bupe patch and did not wait long enough and I took Tramadol. The consequences were dire: I puke my brains out for about 2 days lol.

Well, I just took my last dose of Tram. All I have to get through withdrawl is Ibuprofen and Fluoxetine. Hopefully tomorrow I can get Venlafaxine (structurally similar to Tramadol) and maybe some benzo to sleep. All this while I wait to get to Kratom.

the benzo is not a terrible idea, may i suggest Pregabalin aka lyrica, its very subtle but strong in itself in decent doses if used short-term maybe pick some up for the future, i know that eating pregabalin/lyrica and amps is how i accomplished going 29 hours without a single dose, usually by the 12 hour mark is kill me time but the gabapentinoids ease that and if you check out some threads, there are people who claim stuff like gabapentin (3x lesser in potency to pregabalin) will block wd, which is not entirely true having eaten 10's of thousands of the stuff which i advise people never to recreate my usage as i am a very tolerant individual annnd i forgot to hit post reply because derpderp, love everyone stay safe -zonxx

ps. gabapentin is more of a downer/benzo where pregabalin feels like a benzo/mdma at higher doses (1000-3000 but don't go there trust me.)

 

[Ticket]

Withdrawing off bupe and benzos recently I had some truly horrid brain zaps. My whole head, like I could taste it and feel it in my teeth and hear it as well as being electrocuted deep inside my brain. I've had hundreds of opiate withdrawals and never had brain zaps so it would've had to be benzos. Just be careful to go easy on the benzos, don't keep increasing dosage or frequency or use for a long time or you might just find yourself having to kick them too and having zaps anyway. It's such a fine line with these kinds of comfort meds, but ultimately the only way out is through.

 

[supersonic89]

the benzo is not a terrible idea, may i suggest Pregabalin aka lyrica, its very subtle but strong in itself in decent doses if used short-term maybe pick some up for the future, i know that eating pregabalin/lyrica and amps is how i accomplished going 29 hours without a single dose, usually by the 12 hour mark is kill me time but the gabapentinoids ease that and if you check out some threads, there are people who claim stuff like gabapentin (3x lesser in potency to pregabalin) will block wd, which is not entirely true having eaten 10's of thousands of the stuff which i advise people never to recreate my usage as i am a very tolerant individual annnd i forgot to hit post reply because derpderp, love everyone stay safe -zonxx

ps. gabapentin is more of a downer/benzo where pregabalin feels like a benzo/mdma at higher doses (1000-3000 but don't go there trust me.)

Oh, okay. Yes, in the past I have taken Pregabalin. Although I did not know that it could be used during tram withdrawal, I thought only to avoid seizures.

 

[Zonxx]

Oh, okay. Yes, in the past I have taken Pregabalin. Although I did not know that it could be used during tram withdrawal, I thought only to avoid seizures.

i think the only reason i'm here today is because of those things, i never thought tramadol would be as strong as it hit me, mind you 1200mg while only using the stuff a few years ago when i broke my knuckle on someones face, but thats a story for another time. but they are extremely effective in reducing seizure chances, and i would reccomend to use it along w the opioids or any I.V stimulants
it will enhance any opiate effects at doses of 250-700 but know that lyrica/pregab and all gabapentinoids build tolerance VERY VERY VERY QUICK and i highly advise against regular high doses because it is a real drug and even being as subtle as it is can be as dangerous as a benzo

 

[supersonic89]

Withdrawing off bupe and benzos recently I had some truly horrid brain zaps. My whole head, like I could taste it and feel it in my teeth and hear it as well as being electrocuted deep inside my brain. I've had hundreds of opiate withdrawals and never had brain zaps so it would've had to be benzos. Just be careful to go easy on the benzos, don't keep increasing dosage or frequency or use for a long time or you might just find yourself having to kick them too and having zaps anyway. It's such a fine line with these kinds of comfort meds, but ultimately the only way out is through.

Honestly, I have abused benzos in the past a few times, but only for a couple of days, then they become quite boring. Also my tolerance is really low. 2 mg of Lorazepam are enough to feel it's anxiolytic effects.

 

[supersonic89]

it will enhance any opiate effects at doses of 250-700 but know that lyrica/pregab and all gabapentinoids build tolerance VERY VERY VERY QUICK and i highly advise against regular high doses because it is a real drug and even being as subtle as it is can be as dangerous as a benzo

I did the same thing. I used it as an potentiator and it worked excellent. The bad thing were the balance problems and extremely fast tolerance. I got to take up to 1500 mg of Pregabalin

 

[Zonxx]

I did the same thing. I used it as an potentiator and it worked excellent. The bad thing were the balance problems and extremely fast tolerance. I got to take up to 1500 mg of Pregabalin

yeah, it creeps up on you, sneaky sneaky and by the time you realize you're taking 30-60 caps (3-6k) you realize it's a real drug, I never experienced withdrawal from sudden cessation of use however.

 

[supersonic89]

yeah, it creeps up on you, sneaky sneaky and by the time you realize you're taking 30-60 caps (3-6k) you realize it's a real drug, I never experienced withdrawal from sudden cessation of use however.

I have read that just as tolerance comes very fast it quickly reduces. Although I don't know if that's true. Well, since July I do not take Pregabalin so at this point my tolerance should be quite low. Strangely here, Gabapentin is more expensive, since it has less potency than Pregabalin. Is there another particular difference between both drugs?

 

[Ticket]

I never even abused benzos since I also find them boring, it's purely utilitarian use for me, I don't get any recreational effects. But yeah talk about sneaky sneaky, I didn't even realize I was physically dependent for the longest time, until I actually didn't feel the need to take them for either anxiety/panic or sleep... But I had been using my clonazepam for sleep for a long time. To be fair, I did that with xanax all the time before I got switched to kpin and it had always been perfectly fine. Ironically, I was switched from xanax to clonazepam to avoid the risk of addiction since conventional thinking here is that the longer acting drugs will be less addictive than short acting versions. Talk about unpleasant surprise and pretty fucking mad about it lmao. Benzos are just... You gotta be careful, sneaky sneaky indeed.

 

[Wilson Wilson]

Yep, that's why kratom is the better choice instead of something you can take like candy.

I wouldn't describe codeine this way - it has a dose ceiling of about 400mg and redosing is much less effective than initial dosing. If you "eat codeine like candy" it will stop working pretty quickly. It's self-limiting that way. The same is not true of kratom which you can redose all day and keep getting increased effects from.

 

[CoastTwoCoast]

That's not true at all about kratom. Kratom has a ceiling effect too and if you increase it to a certain dose, you will only get side effects and not benefits. The fact that you cannot see why kratom is a better choice than an actual opiate is dangerous actually. I don't get you at all at this point. It's like you're disagreeing with me just to disagree. It's annoying and not in the best interest of OP at all.

 

[Wilson Wilson]

That's not true at all about kratom. Kratom has a ceiling effect too and if you increase it to a certain dose, you will only get side effects and not benefits. The fact that you cannot see why kratom is a better choice than an actual opiate is dangerous actually. I don't get you at all at this point.

As far as I am concerned codeine and kratom are pretty much on the same level of strength. The fact that codeine is "an actual opiate" doesn't magically make it more dangerous, it's not heroin, codeine is the weakest opiate in existence and has a 400mg ceiling dose plus redosing is simply not effective because the CYP2D6 enzyme is already metabolising the initial dose. Codeine itself is inactive and needs to metabolised. So if your body won't metabolise redoses effectively, the redose does nothing. Your assertion that you can "eat codeine like candy" is therefore false.

As for kratom's ceiling dose, I looked it up and found a few articles and forum posts, but none of them told me exactly where the ceiling dose is supposed to be. Meanwhile I've seen people use high doses like 20g of kratom per day or sometimes even more. I can certainly redose kratom and easily feel an increased effect. And the primary active ingredient in the kratom plant, mitragynine, is directly a u-opioid receptor agonist, so it makes sense that any ceiling effect would be much higher than a prodrug like codeine which relies on one enzyme to metabolise it into something active.

I am not trying to say codeine is "safer" than kratom per se, only that I don't see why you need to demonise codeine as if it's far stronger than it is. Codeine and kratom are both weak drugs that are perfectly good options for tapering opioids. I'm not saying one is "better" than the other. Incidentally, in my country codeine is OTC because it's so weak (ironically kratom is technically illegal... which is stupid).