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Opioids tapering tramadol isnt working! coming off cold turkey need help

OhCrap

Bluelighter
Joined
Apr 6, 2012
Messages
61
Well I'm addicted to tramadol. I'll just say it because I haven't til now. I have never had much of an addiction problem except weed, and this one took me by surprise. I have been taking 4-8 50mg pills daily for about 6 months now with the average being 5 pills and have tried tapering off a few times, but it doesn't work. After a few days I give up. So I'm just gonna quit, and hope my withdrawl isn't too bad. I took 6 todayand have 3 more left. I've heard I'll probably need some anti anxiety meds like valium or xanax to help with sleep. Any other suggestions? I've never done withdrawls from anything so I'm a little scared and unsure what it will be like.and how long it will last? I'm confident I can do this but not alone!! here goes nothing....
 
ive been there a few times. youll get through it it will last a week at the most. the first few days will be rough but then its much easier after that. i found going for long walks really helped take my mind off it.
 
don't take tramadol for 2-3 days then take 60-120mgs of DXM. then taper yourself down with DXM.

DXM works on almost the same exact sites that tramadol does, that is why i suggest DXM. DXM is also OTC in most countries and is relatively cheap. combined with aleve (naproxen sodium) and benedryl (diphenhydramine), you should be golden. well not golden, but you should be fine hahaha
 
Dxm as in the cough medicine? Thanks for the support, it feels a lot less daunting to know I'm not going through this alone!!
 
I just wanted to point out that tramadol has a SNRI mode of action to it, and perhaps that's the part that's making a taper not work for you. If you happen to be feeling otherwise depressed or down, it might be worth talking to a doctor about an antidepressant of some sort.

I know a lot of people on here might disagree with me, and think antidepressants are rubbish, but in certain situations I've seen them do people a lot of good.

Keep us posted, and hope you get feeling better.
 
don't take tramadol for 2-3 days then take 60-120mgs of DXM. then taper yourself down with DXM.

DXM works on almost the same exact sites that tramadol does, that is why i suggest DXM. DXM is also OTC in most countries and is relatively cheap. combined with aleve (naproxen sodium) and benedryl (diphenhydramine), you should be golden. well not golden, but you should be fine hahaha

I have to disagree with this suggestion since taking DXM with Tramadol can cause Serotonin Syndrome. I know that you said to wait 2-3 days after the last dose of Tramadol before taking the DXM, but it would put the OP in a bad position if they find that the DXM isn't working to their satisfaction and they wish to dose some Tramadol at that point.

Instead, I would recommend using loperamide (imodium) when the withdrawals begin. A loperamide taper could be done starting with 20mg at the most (I know that some people take very high doses, but I find 12-16mg to work alright, and since the OPs habit isn't bad I think that this would be a good starting dose) and then decreasing by 2mg or more each day until they are done.

Other things that may help with the withdrawals can be found in this thread. I also recommend not worrying about the withdrawals that much. A lot of the detox is mental, and if you expect it to be bad then it will be worse than if you aren't expecting any bad withdrawals.
 
Thank you from the bottom of my heart to everyone. I do have a bottle of anti depressants I was prescribed a couple months ago. Would that have any effect on the withdrawl? I have always had a problem with anxiety and depression and one benefit of the tramadol was that went away.
 
Btw the anti depressant are Paxil. I know it isn't a good idea to tale ssris with tramadol so should I wait a day or two to start em?
 
Honestly, I think antidepressants are something better addressed by an actual doctor. Correct though, do NOT take them with the tramadol. I think if you could just keep off them for a couple of days and get in with your doctor to see about getting put on some antidepressants it would at least be worth a try.

Just bear in mind they do take a while to start working, so it isn't going to be a fix for the WD, but could lead to you feeling a lot better off in the long run.
 
OK, I'll make an appointment regarding the anti depressants. I may not be able to get my hands on any Valium. I could get some trazadone, would that do the trick? Or otc sleep aides like tylenol pm?
 
You can take tylenol PM, but I would suggest just getting some OTC doxylamine (generic for Unisom) for sleep. I have found trazadone to leave me with a pretty bad hangover where it's very hard for me to think, and I have even less energy than I would normally have in withdrawals.

As for getting on antidepressants, it is best to wait until you are off of drugs and fully detoxed before seeing a doctor about them. The reason for this is that you want your brain chemistry to have a chance to get back to normal so that you can accurately gauge whether or not you need antidepressants, and then how well they work. If you are in withdrawal then that would compromise the integrity of the induction phase of the antidepressant treatment, which can lead to incorrect dosing or diagnosis.

For now you should just make sure to have some doxylamine for sleep, ibuprofen for aches and pains, and loperamide for intestinal issues as well as helping with some other symptoms of withdrawal. Don't worry though, it's not going to be that bad so don't start thinking that way. You might not even need those meds, but it's best to have them on hand so that you don't have to go out and get them if you are withdrawing and need them.
 
Op this is going to fucking suck for you seriously, if you've never felt any type of withdrawal, and you're planning on going cold turkey from an average of lets say 4 pills a day, 200mg tramadol, that is going to fucking suck man. Follow the advice in this thread but mentally prepare yourself for a bit of ordeal, this isn't going to be like you just feel a bit off for a week, this will be a decent withdrawal man, tramadol is a horrible drug to withdraw from, the combination of opioid and SNRI withdrawal is what makes it fucked.

Goodluck man, but i'm just warning you this is really going to suck. Don't underestimate your habit, if you're seriously taking those doses of tramdol, cold turkey is going to be pretty damn uncomfortable. Just mentally prepare yourself from this, because the vibe i got from your post is that you have no idea how unbearably horrible withdrawal can be, and you're addicted to a pretty shitty drug to withdraw from, at highish doses, so i'd hate for you to think it's going to just be a week of feeling a bit off when in reality you're going to be in hell.

I'm not trying to scare you but prepare you rather dude, otherwise if you don't know what to expect, you will be confident until your withdrawals get to a point that you cannot bear/handle any longer and you will fold back to your habit, this is more likely to happen if you don't have a solid idea of what to expect.
 
Don't get me wrong, I am pretty much already scared shitless. But Thanks for rubbing it in : (
 
^ I've know people that didn't know about withdrawal when they were taking a lot of opioids, and their withdrawals weren't bad until after a few times. They could stop and be relatively fine since they weren't expecting anything to happen when stopping, which further proves how much of withdrawal is mental.

Op this is going to fucking suck for you seriously, if you've never felt any type of withdrawal, and you're planning on going cold turkey from an average of lets say 4 pills a day, 200mg tramadol, that is going to fucking suck man. Follow the advice in this thread but mentally prepare yourself for a bit of ordeal, this isn't going to be like you just feel a bit off for a week, this will be a decent withdrawal man, tramadol is a horrible drug to withdraw from, the combination of opioid and SNRI withdrawal is what makes it fucked.

Goodluck man, but i'm just warning you this is really going to suck. Don't underestimate your habit, if you're seriously taking those doses of tramdol, cold turkey is going to be pretty damn uncomfortable. Just mentally prepare yourself from this, because the vibe i got from your post is that you have no idea how unbearably horrible withdrawal can be, and you're addicted to a pretty shitty drug to withdraw from, at highish doses, so i'd hate for you to think it's going to just be a week of feeling a bit off when in reality you're going to be in hell.

I'm not trying to scare you but prepare you rather dude, otherwise if you don't know what to expect, you will be confident until your withdrawals get to a point that you cannot bear/handle any longer and you will fold back to your habit, this is more likely to happen if you don't have a solid idea of what to expect.

When I first started out on opioids I used 30-45mg of hydrocodone 4-5 days a week for almost a year and the withdrawals weren't that bad at all, so I think that you may be hyping it up too much. I know that tramadol has the added SNRI withdrawal, but even so the first withdrawal a person experiences usually isn't that bad unless they had a large habit for a while. Also it takes a while to become dependent at first. After the first withdrawal then it becomes easier to get strung out and the withdrawals seem to get worse even with shorter less severe habits than before, but it takes a while to get strung out at first, and even when it happens it's not that bad.

Everybody is different so the OP will have to find out on their own how it's going to be, but I don't see a reason to say that it will definitely suck. How do you suggest someone prepares for withdrawal? They now know what meds to stock up on, so I don't see how expecting horrible withdrawals will help. The only other way that they can prepare is to make sure they clear their schedule for the week so they can kick without having to worry about school, work, and other responsibilities.

And why do you say that it won't be like they will just feel a bit off for a week? That's how my withdrawals were, even when doing dope for that same amount of time. For me it's 2-3 days of bad withdrawals with another 2 days of feeling off, but after 6 days I'm just achy but nothing major.
 
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Haven't used in about 30 hours, feel a little restless and anxious but otherwise OK. I took 12mg of immodium about 3 hours ago, and got a few 1mg ativan. I want some tramadol. When did I become this person???
 
When you're feeling down to start, drugs like this can without a doubt change the way you feel, your outlook, and even your personality. Just be reminded that once you do get off of it, you can and WILL get back to feeling like yourself. Let that be your motivation, it's a tedious journey but the end result really is worth the effort.
 
Thanks for the kind words, Bronson. I've struggled with depression and anxiety my whole life and been on and off (recently mostly off) antidepressants since my early teens and guess I probably need to take a really hard look at getting back on those.Sorry, probably more info than anyone wanted to know but thanks for letting me babble a minute and take my mind off my fucked up life hole Ive dug myself ;)
 
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