Ok, so here is my final Tramadol withdrawal diary:
I was asked to cease Tramadol pain management to reassess pain.
I had been using 300mg SR/day for 3 years. I did not miss a dose.
Here was my doctors instructions to stop using Slow Release Tramadol:
Week 0 150mg SR morning, 150mg SR evening;
Week 1 150mg SR morning, 100mg SR evening;
Week 2 100mg SR morning, 100mg SR evening;
Week 3 100mg SR morning, 50mg SR evening;
Week 4 50mg SR morning, 50mg SR evening;
Week 5 50mg SR morning, 0mg evening;
Week 6 0mg morning, 0mg evening.
Well, I agreed to this schedule and said that I would come back for a review visit every 2 weeks.
After starting my discontinuation schedule this is how it panned out:
Day 0 150mg SR morning, 150mg SR evening;
Day 1 150mg SR morning, 100mg SR evening;
Day 2 100mg SR morning, 100mg SR evening;
Day 3 100mg SR morning, 50mg SR evening;
Day 4 50mg SR morning, 50mg SR evening;
Day 5 50mg SR morning, 0mg evening;
Day 6 0mg morning, 0mg evening.
So, I roughly turned 1 month of pain into 1 week of pain.
And as it turns out, quitting was not that hard.
The worst side effect from Tramadol discontinuation was without doubt the "brain zaps". These continued till day 15. (Approx 2 weeks)
I have not had any problems with depression, but my pain has returned... the reason I started Tramadol in the first place.
The verdict:
For the pain relief provided this drug has very few withdrawal effects.
If you have ever discontinued an SSRI or an SNRI the discontinuation syndrome is almost identical. When you know what it is it does not bother you... well, not me at least.
I was able to go to work as normal, and this surprised me as I am a Project Manager. This indicates to me at least that Tramadol can safely be stopped and dealt with whilst still continuing with every day life.
The drugs that the doctor scripted for discontinuation symptoms were:
Alprazolam 0.5mg
Clonidine 150ug
Paracetamol (APAP) 500mg
If you would like my actual diary of symptoms feel free to PM me and I will email you a copy.
I just hope that this gives others some idea of how easy it is to quit Tramadol if you really want to.
Not every Tramadol withdrawal experience is negative.
Nab