Harm Reduction valium W/d and tramadol HCL extended release..

[chrisalt]

Atm i have 6 days until my last valium pill and my taper is done. Im a chronic pain patient and my doc gave 200 mg Tridural (Tramadol hcl) extended release pills. I know tramadol can cause seizures especially at 400mgs or more at one dose. Heres my questions.

1. If my taper is done 2/6/13 is it safe to start taking my tramadol 200 mgs ER once per day as precribed? or should i wait some time so i dont seize. if i should wait. How much time should i wait. Im stable at 15 mgs of valium and dropping 5 mgs every 3 days and feeling pretty good even though im going through benzo w/d. I was only on benzos for 4.5 months this time at a max dose of 40 mgs of valium per day.

2. If the extended 200mg pill were crushed. Is that like taking 200 mgs of instant release?? or does the 200 mg pill release 200mgs of the drug every so often over the 24 hours ?? like what i mean is crushing a 200mg ER pill like taking 1000mgs of instant release or something stupid like that?? i have zero opiate tolerance. 5mgs of oxy gets me pretty fucking high and im not trying to get high anymore im trying to control my pain. I just dont wanna OD.

Thanks in advance for the info.

 

[toolegit_toquit]

I think you should be fine taking the tramadol 200 ER with valium. I am tapering off tramadol actually and have 200 ER prescribed right now. When you crush them, its basically instant release of 200 mg, its quite a big dose to kick in at once for someone with zero tolerance. Taking the 200 ER without crushing will allow the pill to slowly release 200 mg over a period of 24 hours. I would recommend not crushing them with the valium. The 200 ER should help your pain and as it is slowly released, I don't think its enough to make you seize. I am not a doctor, however, I am just speaking from experience. Best of luck to you.