Tramadol is a synthetic opioid. Unlike other synthetic opioids you may have heard of, such as fentanyl, tramadol is far weaker than a regular opioid. The effects are mild enough that doctors often consider them a safer alternative to stronger pain relievers...
In recent years, however, reports of tramadol-related emergency rooms have increased. More and more doctors are reporting on tramadol-dependent patients. And the list of possible tramadol withdrawal symptoms has continued to grow.
Tramadol use is increasing. According to government statistics, prescriptions for tramadol rose 88% in just five years, from 23.3 million in 2008 to 43.8 million in 2013..With all that tramadol floating around, more and more people are getting into trouble.
Between 2005 and 2011, the number of emergency rooms related to tramadol related abuse or abuse increased by 250%.
Whether you abuse it or take it therapeutically, tramadol can cause tolerance and dependence. If you become physically dependent on a drug, withdrawal symptoms will occur when you stop taking it...
During tramadol withdrawal, you can expect to feel sick with the flu and stomach ache. You may sweat and have the chills. You may have trouble sleeping and feel much more irritable and angry than usual. You may also experience varying degrees of anxiety and depression.
Tramadol withdrawal symptoms usually start within a day or two of your last dose and usually resolve in about a week.
In most cases, symptoms of tramadol withdrawal are less intense than with other opioids such as heroin and oxycodone. Tramadol’s effect on opioid receptors is comparatively small, which means that your brain can more easily adapt to its absence.
Your withdrawal experience will also depend on the factors that led you to become dependent on tramadol in the first place, such as: B. Your level of pain and a history of substance abuse. An opioid use disorder (addiction) has additional complications.
Signs and symptoms
An important study published in 2011 showed for the first time that it is possible for people to become physically dependent on tramadol. This also applies if it is taken as directed by a doctor...
If someone is physically dependent on a drug, it means they will experience withdrawal symptoms when they stop or reduce the dose.
Tramadol acts like an opioid, which means that many of its withdrawal symptoms are similar to those of other opioid withdrawal syndromes. However, unlike traditional opioids, tramadol has a significant effect on some of the brain’s other neurotransmitters, including serotonin...
Because of this, additional withdrawal symptoms may appear, including those more commonly associated with withdrawal from antidepressants.
When stopping tramadol, the following symptoms may occur:..
- Nausea or vomiting
- Loss of appetite
- Panic, paranoia, or panic attacks
- Pain in muscles or joints
- Problems falling or falling asleep
- Runny nose, sneezing, or coughing
- goose bumps
- Stomach cramps
- Restless legs syndrome
- Confusion or delirium
- Hallucinations (seeing, hearing, or feeling things that are not there)
- Increased blood pressure or heart rate
- Rapid breathing
The withdrawal experience of every individual is different. It’s impossible to predict exactly when your symptoms will start, how long they will last, or how severe they will be.
Factors that can affect your withdrawal experience include how long you have used the drug, how much you use, and how often you use it. Other factors that can affect your payout are:..
- Your Health
- Your age
- Your sanity
- Your other drug use
- Your history of substance abuse
In a typical healthy adult, tramadol withdrawal begins one to two days after the last dose, peaks after the third day, and subsides within one to two weeks.
Coping and Relief
If you’ve been taking tramadol for pain and have found that reducing or interrupting your dose is causing uncomfortable symptoms, there are steps you can take to treat or prevent them. However, you will need the help of a doctor.
A tramadol cone is the easiest, most reliable way to prevent retraction before it begins. Tapering tramadol means gradually taking smaller doses over two or three weeks..There is no one-size-fits-all rejuvenation plan that will tell you when or by how much to reduce your dose. Hence, it is best to do this with the help of a doctor. Studies have shown that psychosocial approaches coupled with pharmacological interventions can also improve outcomes...
If done correctly, tapering should allow for a smooth transition from tramadol.
Several case studies have shown that benzodiazepines like clonazepam or lorazepam can help reduce tramadol withdrawal symptoms. This is especially true in cases where there is fear, restlessness, or restlessness...
Other drugs that have been used to treat tramadol withdrawal include the hypertensive drugs clonidine and moxonidine. These drugs have a track record in the off-label treatment of opioid withdrawal...
Some people are at higher risk of complicated withdrawal. While some people are solely dependent on tramadol, many people take it in combination with other substances. Among the thousands of people who visit the emergency room each year for problems related to tramadol abuse, about 71% report using one or more other drugs. The majority of these people combine tramadol with another pain reliever or sedative...
When people use multiple therapeutic or illegal drugs at the same time, they can develop multiple physical addictions. If you have combined or alternated your dose of tramadol with another pain reliever such as hydrocodone, your opioid addiction may be more severe.
If you’ve become physically dependent on anti-anxiety drugs (benzodiazepines), you are at risk of dangerous withdrawal complications, including seizures and delirium.
Tramadol is also linked to seizure activity. Seizures can occur in people with and without a history of seizures. People with a history of seizures or traumatic brain injury may be at increased risk during tramadol withdrawal. Tramadol has been shown to lower the seizure threshold, which makes seizures more likely..Your risk is also increased if you are taking other drugs that lower the seizure threshold, such as: B. Antipsychotics.
People over the age of 65 are also at an increased risk of withdrawal complications. Older adults metabolize tramadol more slowly than younger ones..This means that the drug has more powerful effects. Withdrawal may start later than normal and be more severe in older adults.
While this is not common, some people appear to be more sensitive to tramadol withdrawal than others.
If you or someone you love experiences confusion, hallucinations, delusions, or excessive restlessness, you should take them to the nearest emergency room.
Another thing to be aware of is Tramadol’s association with a dangerous condition called serotonin syndrome. Serotonin syndrome is unlikely to occur during withdrawal unless you relapse and take an unusually high dose...
Serotonin syndrome usually occurs when you combine tramadol with one or more drugs that also affect your body’s serotonin levels, such as: B. Antidepressants, MAOs, migraine drugs or illegal drugs. Symptoms of serotonin syndrome that can be fatal without treatment include a fast heart rate, dilated pupils, twitching or stiff muscles, and profuse sweating...
Long term treatment
If you’ve developed physical dependence on tramadol because you spent several months or years taking a therapeutic dose for your pain, you probably don’t need additional treatment. Tapering should be enough to help you quit, as long as you have a plan to manage your pain in the future...
But if you are among the many people who abuse or abuse Tramadol, you have a longer way to go. Tramadol abuse means taking it in a manner other than prescribed by your doctor, including doses larger or more frequent than intended, or mixing with other medicines. Tramadol abuse occurs when you use it to get high, to make another drug high, or to treat opioid withdrawal symptoms...
A substance use disorder (addiction) is a complex disease that has both physical and psychological symptoms. The physical symptoms are your withdrawal symptoms, while the psychological symptoms are the thoughts, feelings, and behaviors that surround your drug use...
Research shows that a combination of medication and counseling is the best approach to opioid addiction.
Depending on your circumstances, medication may mean slow tramadol rejuvenation or the addition of opioid maintenance drugs like buprenorphine or methadone...
Some people choose to work one on one with a drug counselor or psychiatrist who can prescribe medication. While others prefer the abstinence-based 12-step model. All of these methods have been shown to promote long-term sobriety.
In the long run, many people opted for the convenience of a free 12-level group like Narcotics Anonymous. These social support groups are offered daily across the country. In meetings, you share stories with people who have been where you are. Through a process of acceptance and participation, these groups give you the strength to stay clean and rebuild your life after the addiction.
For more information on Narcotics Anonymous, see the website. You can find a meeting near you using the searchable directory.
If you or a loved one is struggling with substance use or addiction problems, contact the National Substance Abuse and Mental Health Authority (SAMHSA) helpline at 1-800-662-4357 Information on support and treatment facilities in your area.
You can find more mental health resources in our National Helpline Database.
A word from Verywell
Pain makes us desperate. When we’re in pain it’s hard to think clearly, let alone plan for the future, but you need to protect yourself from the opioid epidemic that has ravaged this country.
It is easy to think of tramadol as harmless compared to other opioids, but it is not harmless. Getting help right away will make all the difference in the world. Take this opportunity to nip your problem in the bud and secure a better future for yourself and your family.