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Opioids I can't get off tramadol, withdrawals make me suicidal

C

crisler

Bluelighter
Joined
Apr 24, 2013
Messages
202
I really need help I dont even know what to ask I dont even know what to do. I have been on tramadol for 7months illegally :( at 250mg per day at one dosing at wake, no redosing. I have tried 3 times now since May 27th to cold turkey from 250 since its not that high but its unbearable, and I dont have enough to taper for longer than 2 weeks dropping the dose like 50mg every other day. That wouldnt even be a slow enough tper to matter so I want to cold turkey and get it over.

Its just when I stop I get actually suicidal I have never been suicidal in my LIFE. I feel hopelessness, depression, like nothing makes sense whats the point of getting out of bed or getting to work or communicating with others, whats the point of eating, whats the point of everything. I wish I could control the psychological withdrawal hell, because on top of this, I cant sleep due to tremors and I have minor hallucinations like im on a low dose of a psychedelic.

This is just hell I am stuck I dont know what to do anymore.
 
Try to taper as much as you can and maybe start taking a SNRI (tramadol is a weak opioid receprot agonist and a SNRI, that's whats causing the suicidal thought etc most likely) after you stopped taking the tramadol, but only start taking a SNRI after all the tramadol has left your system (a rule of thumb is around 5-7 half lifes) or you risk serotonin syndrome.
Maybe go to a doctor or detox ?
Sleep, food and water and exercise are really important.
Do you have someone how can stay with you during the withdrawal process ?
 
Kratom would probably help a ton. Tramadol is a weak opioid, so you could get away with using a very low dose of kratom.

The problem with tram WD is that youre rebounding from both the antidepressant and the opioid effect. Kratom will get you through the opioid WD, and you can more easily jump off the kratom when you get through the antidepressant part of your WD. Taking time off will also help immensly since rebounding from the stimulating effects is probably the worst part. Kratom may help with that too since it has stimulating effects.

Just be careful. Its very easy to trade one dependency for another, and kratom might be more addictive for you since many find it to be a more powerful opioid than tramadol. If all else fails, go to to a doctor and/or psychiatrist.
 
Taper extremely slowly, no less than a 10% decrease of your dose each week (you can do volumetric dosing in water; its water solubility is 0.75mg/mL).

I would not recommend switching over to an SNRI, but rather to taper extremely slowly while your body begins to upregulate neurotransmitter stores and upregulate the amount of 5-HT and NE receptors that had been downregulated from extended use of tramadol.
 
Kratom, baby, Kratom. Every opiate makes me suicidal, just keep a couple if you stay suicidal for more than a couple days to "rescue" you, just in case.
 
^Kratom will take care of the opioid withdrawal symptoms of quitting tramadol, but it won't help at all with the way the serotonin receptors have changed from using tramadol, which has significant 5-HT releasing properties due to it being a Serotonin Releasing Agent.

That is terrible advice. Plain leaf Kratom is a very benifical, albiet weak, medicinal plant that contains opioid alkaloids and yohimbine like alkaloids that act on NE receptors. As much as I love using the plant medicinally and feel that it is least of all evils when it comes to opioids, it won't help with the serotonin aspects of tramadol withdrawal.
 
ErgicMergic said:
^Kratom will take care of the opioid withdrawal symptoms of quitting tramadol, but it won't help at all with the way the serotonin receptors have changed from using tramadol, which has significant 5-HT releasing properties due to it being a Serotonin Releasing Agent.

That is terrible advice. Plain leaf Kratom is a very benifical, albiet weak, medicinal plant that contains opioid alkaloids and yohimbine like alkaloids that act on NE receptors. As much as I love using the plant medicinally and feel that it is least of all evils when it comes to opioids, it won't help with the serotonin aspects of tramadol withdrawal.
Click to expand...

I disagree. Its definitely not terrible advice. Right now OP is withdrawing from the opioid and SNRI properties of the tramadol. With kratom, you'll be taking care of 2/3 of those symptoms. Get through the serotonin part of WD first, and the opioid WD will be much more manageable. It'll take very little kratom to manage tram's opioid WD since it is a relatively weak opioid.

OP also said that he/she doesn't have enough to do a slow taper like you suggested, so kratom is the second best option after seeing a doctor and/or psychiatrist.
 
Slow_Mobius said:
I disagree. Its definitely not terrible advice. Right now OP is withdrawing from the opioid and SNRI properties of the tramadol. With kratom, you'll be taking care of 2/3 of those symptoms. Get through the serotonin part of WD first, and the opioid WD will be much more manageable. It'll take very little kratom to manage tram's opioid WD since it is a relatively weak opioid.

OP also said that he/she doesn't have enough to do a slow taper like you suggested, so kratom is the second best option after seeing a doctor and/or psychiatrist.
Click to expand...

Why not see a doctor and explain the situation, and get on a taper plan? See, that's the best advice. The latter, "just keep a couple if you stay suicidal for more than a couple days to "rescue" you, just in case" is terrible advice because the lack of serotonin is making the OP suicidal. If they weren't considering suicide, I'd say, "sure, take your lumps and take some kratom, it'll get you through the opioid/NE withdrawal no problem and is the better choice of the two," but once suicidal ideation enters the picture, it's irresponsible to give out advice like that.
 
ErgicMergic said:
Why not see a doctor and explain the situation, and get on a taper plan? See, that's the best advice. The latter, "just keep a couple if you stay suicidal for more than a couple days to "rescue" you, just in case" is terrible advice because the lack of serotonin is making the OP suicidal. If they weren't considering suicide, I'd say, "sure, take your lumps and take some kratom, it'll get you through the opioid/NE withdrawal no problem and is the better choice of the two," but once suicidal ideation enters the picture, it's irresponsible to give out advice like that.
Click to expand...

Yep, seeing a specialist is always the first choice
 
Well, at least obtaining a SNRI first would be a good idea,- hence only having to deal with the weak opioid WDs while keeping the brain balanced.

As others have posted though, seek help as you're sucidal. Could you even manage a few days in hospital under a psych to make sure you're safe?

You really need to talk to someone re: your suicidal inclination. Have you a current therapist?

I'm sorry you have to suffer in more ways than one. Please seek help.

Rtp
 
Sorry for late reply thanks everyone who is trying to helpme it took em aminute to read everything. Im going to go to aq hospital likely the er. My supply of tramadol is gone there won't be any more that person is locked up. I dont know why I did thtis to myself I cant do it alone though Im going to the hospital. Its really a nightmare I wish csomeone can se what I am going through on a daily basis on cold turkey from the nightmares out of hell when you finally do get 3 hours of sleep, to the staring at your pistol just wanting so bad to just stop everything. Im going to go tothe hospital today at 12 whatever happens happens i dont care if i get blacklisted, jail after treatment, whatever happens happens I am unable to keep my sanity right now. Again thanks so uch for the helpful responses guys Ill update you when I get through this however this happens.

To all who may potentially read this thread somehow, whether today tomorrow or next year, DONT TAKE TRAMADOL if you dont have a way to get off. Its not like other drugs dont buy the its less addictive than real opiates crap. Please dont abuse this
 
Hon, you won't go to jail for acquiring trams. Be honest with the drs so they can help you m'k?

Going to ED/ER is the best thing you can do, you've been placed in a difficult situation & hopefully will get an understanding doc.

Be well, be safe, remember you have a family here on BL to catch you should you fall. Please be open regarding your suicidal thoughts, that's likely more important than the wds atm.

Good luck, let us know how you go,

Rtp
 
I just skimmed thru, so disregard if this already has been posted..

Kratom DOES in fact have some SNRI activity, like Tramadol, so it WOULD help to use it as a taper tool.
Be advised though, you do not want to trade one addiction for another, trust me, this has happened to me.

Keep your doses spread as far out as you can, and try to dose to alleviate withdrawal, NOT induce euphoria.

Best of luck to you my friend, tramadol is nasty to come off of due to the SNRI activity it holds.
 
It's important to not confuse "NRI" with "SNRI."

Kratom acts on NE (norepinephrine) levels on the brain due to its containing yohimbine-like alkaloids, which I already noted. Its alkaloids don't, however, act directly on serotonin receptors from what we know. Kratom is not known to increase synaptic serotonin any more than any other opioid, which is usually mildly, at best (one exception would be Demerol).

This is important in this case because tramadol is a beast when it comes to its serotonin activity, nowhere near as potent as MDMA as an SRA but keep in mind that lots of people take it daily for months on end. The OP's low levels of serotonin (at the moment) which is causing suicidal thoughts is not going to be remedied by using Kratom.
 
my nan takes tramadol and has never once found it addictive are you sure your on about the right medication.
 
xiyou said:
my nan takes tramadol and has never once found it addictive are you sure your on about the right medication.
Click to expand...

Tramadol is one that effects different people vastly differently. Its metabolites have stronger analgesic effects than the parent compound, so variations in cytochrome p450 isozymes can cause significant variability in effects between different people.
 
You've def built a medium/small tolerance to the opioid effects but whats making you suicidal is the SNRI effects of the Tramadol which can make you feel like the traditional SSRI type medications.

Whenever your having a rough day, its not only the opioid effect that makes you feel 'good' - those start in 2hrs (long metabolism), rather you feel 'good' within the hour which is almost exclusively the SNRI part. This puts an effective band aid, so that with time even if you are happy or if you are sad, you react pretty much the same - some might say like a 'zombie'.

The withdrawls will be more difficult, even when your high on it, there is a tendency towards overstimulation to the point even a benzo doesn't always work.

My man what I am recommending you may not want to hear but if I were you I'd go for a small duration on methadone...the reason is because methadone isn't a traditional opioid either, it affects NMDA as well. In my experience out of all the opioids I've done, methadone is the most effective as: anti depression, anxiolytic (very sedating), very effective for metal & physical pain.

Maybe get the done from someone if you don't want to be in the system.

Is more serotonin producing chemicals what the O.P. needs?! (referring to the kratom)

ps. Is a taper out of the question?
 
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