• Select Your Topic Then Scroll Down
    Alcohol Bupe Benzos
    Cocaine Heroin Opioids
    RCs Stimulants Misc
    Harm Reduction All Topics Gabapentinoids
    Tired of your habit? Struggling to cope?
    Want to regain control or get sober?
    Visit our Recovery Support Forums

Changing from Tramadol to Fentanyl Patches

neverending

Greenlighter
Joined
Oct 28, 2013
Messages
2
Hi All
I'm new here although a long time lurker. I've tried to find the answers to my question but cannot find anything that really helps.
I've been on 200mg tablets of tramadol for around 3 years now. I've reached such a tolerance that I'm now taking around 5 a day and still feel very little. Despite the risks, I've taken more but good luck, rather than good management, has prevented any seizures. To make matters worse I cut the tablets into 8 smaller pieces because the slow release doesn't seem to do anything. I've tried reducing but as soon as there is a major event in my life, it's the first thing I turn to (the truth is, it gives me an excuse).
I also take diazepam, although usually only once a week. I can take an entire box of 50 (5mg) and feel virtually nothing. My doctor thinks I'm taking 4 daily but I don't want a benzo addiction to top off the tramadol. The pathetic part of me looks forward to that once a week diazepam dose despite the fact it's not really doing much anymore (he only gives me a week's worth at a time). Finally my doctor decided to put me on zoloft which I don't think has done much other than cause yet another potent addiction to deal with.

In the past I was a drug addict. I did Heroin for years and ended up on methadone. After much difficulty I got off the methadone after lowering my dose from 120mg to 9mg before jumping off. It was a month of withdrawal hell. Having tried a (very short) bout of cold turkey on Tramadol, I can say, for me personally, methadone was a walk in the park. Tramadol had so many more side effects than just opiate withdrawal. My head zaps, my emotions are all over the place, I feel out of body and a lot of other things I can barely explain. It's a completely insane experience. Now my doctor has changed me to 25mcg patches of Fentanyl (today actually), and I'm scared of how this will impact me. Has anyone else had this experience and if so could you share what you went through and anything that might help. Obviously I'm a self medicator although I'm not doing any illegal drugs. I don't even drink or smoke. I stopped all drugs for ten years but I hurt my back and that just triggered the whole addictive cycle all over again. I've been honest with my doctor and said my back has improved and I know I don't need these meds but my head and physical addiction does. I see a psychologist but in all honesty, it's not really doing a whole lot to help. He thinks stopping the tablets will stop the hand to mouth habit of popping pills each time I feel stressed, kind of like a smoking patch, (his words).

I guess to cut things short, has anyone else done this and how did you go? Also, the truth is, I still have those drug seeking desires. I'm an addict and I don't know how to stop the craving to numb my self to reality. Not wanting to get smashed, just numb.
Sorry if this has already been answered elsewhere and that it's been such a long post.
Any feedback is most appreciated.
 
2oomg tram is nothing get off it while you can. ive clucked off alot more tram than that and ive attempted clucking of H and Methadone. Meth is far worse than tram.
i am also very surprised that your doctor moved you from tramadol to fentanyl. is that even allowed
 
Well he gave you a stronger pain killer. Very interesting, makes sense if you told him Tramdol wasn't working. Use a directed. Put the patch on your back shoulder for 24hrs. Keep track when you change patches. And for the time being try to resist those Valiums. You're now on a stronger pain killer, one that will increase your drug seeking desires.

Does your Doctor (current) know of your past? I had to beg just get some Hydros when I cracked my shoulder and ribs a month back. Telling him I would promise I would NOT come back begging for a refill.
 
Also a self medicater and recovering addict. Still have a hard time denying myself the scripts though because I also suffer from back pain. Surprised he put you on the patches. No quick advice here. Just a word of encouragement. Are you seeing a psychiatrist? That helps me, but I'm bipolar too. Hope you get some relief.
 
He switched you from one the weakest benign painkillers to THE strongest painkiller available? That makes no sense to me, even with his nicotine patch justification reference. I'll tell you from experience that fentanyl was a total bitch to withdraw from, and I was only taking it for 2-3 months at most. I've w/d from CT suboxone after a year using 8mg/day and that sucked royally but the fent was even worse. Depression and anxiety from hell...

For your own sake, try not to abuse the fent and just use it as directed. Since you said your pain isn't TOO bad and the worst part is the psychological cravings, maybe you should look into suboxone maintenance. It works great for keeping cravings at bay as well as being a nice antidepressant. In a way, you get your fix (kinda), pain relief, and its sublingual with a ceiling effect so you wouldn't be popping pills. Good luck with everything
 
Last edited:
Hi sorry for the late reply. Last week, my toddler decided to switch the computer off in the middle of my post and I just didn't have the will to start all over again.

I appreciate everyone's replies. 'Aliceinchuncerland', I'm sorry I didn't explain myself well but I'm not on 200 mg per day. I've been taking 1000 mg per day (5 x 200 mg tablets), which I've been cutting up into small pieces for 3 (getting close to 4 years). Sticking to 5 tabs per day has been quite an effort because knowing the dangers, I still have to control my desire for more and more. You know that attitude "it wont happen to me", that's my problem. To 'The Dude Abides', you are so right, all this has done is increased my desire for more. (Also, just a quick mention, the patches are supposed to last 3 days, not 24hrs) I don't think I've shared the extent of my past (to my GP) for the exact reasons you've described. I don't want to be denied pain relief when I really need it but I've felt compelled to be relatively honest in this regard so I can get the help I really need. I'm pretty sure it's legal or he wouldn't be doing it. He's a straight up guy, and even though it doesn't sound like it, he wont hand pills out like lollies. I started with a different doctor who moved interstate, so he pretty much took me on from there, and has really tried to help me with this problem. The really odd thing is, he had to call each week to get the extra Tramadol I needed as a gov authority, yet the patches don't have this stringent compliance necessary. For some reason you can't get repeats for Tramadol and taking more than a box of 20 weekly, (probably due to the seizure risk) requires a gov auth.

Anyway, my concern about the withdrawal effect of changing from one to the other wasn't necessary 'in the way I thought'. As mentioned, the problem has actually been an increase in my desire to go back on the dreaded drug treadmill of seek and find as the effects are more intense than the trams, which I'd really gotten used to.

Crestfallen, you are so right, I'm now more fearful of getting off this than the tramadol. I've already started increasing my prescribed dose and I hate that pathetic weakness inside myself. When I run out of medication, and start withdrawing, I'm so strong in my will and desire to get back on track and slowly step down, but as soon as I have all those drugs in my hand, everything flies out the window. Of course I'm only deceiving myself and self justify by thinking, 'it's just for today'. Deep down (or not so deep down), I know the truth.
I took much more than I needed and in the short space of one week felt the withdrawal hit. I know I'm not nuts (well at least legally speaking :p), I know what 'hanging out' is, and I can't adequately describe how badly I was feeling. Most of you know exactly what I'm talking about but things probably felt even worse because I also seem to have come down with something causing the lymph nodes in my jaw to become inflamed and sore. I wont bore you with all the physical symptoms, suffice it to say, I appreciate your replies and understanding.

Thanks for helping me feel less lonely and Viccy, thanks for the encouragement. Right now I feel like a weak piece of something you might be unfortunate enough to step in on the grass :(
Most people don't understand that addiction is not just painful during physical withdrawal, but the emotional roller coaster of self loathing and disgust is so depressing too. Sometimes, I feel so alone, as if no else understands me, especially when I don't even understand myself or know why I keep doing what I do.
Thanks for putting up with my embarrassing little self pity party. I promise I'm not always like this.
One day the fake, confident, I'm going well, exterior persona, will become the real me, both inside and out.
Thanks all
 
Top