What Is Tramadol?
Tramadol is an opioid pain reliever that is typically used after surgery to alleviate pain. It is sometimes used to reduce dental pain. Aside from its analgesic properties, tramadol also prevents the reuptake of norepinephrine and serotonin, resulting in mood changes. Using tramadol for more prolonged periods can change your brain chemistry, and make tramadol detox more challenging. This is the result of having chemical dependence on tramadol.
There are a large number of other drugs that may interact with tramadol, that is why it is important to always tell your doctor about other medicines you are taking and avoid developing a dependence on tramadol.
As you become more dependent on tramadol, your body behaves like it needs tramadol to thrive. Hence, when you suddenly stop using it, you’ll experience physical and psychological effects such as intense cravings and irritability. Experiencing tramadol detox can make it complicated for you to think well and makes you tempted to use tramadol excessively. If you want to heal yourself from this, you need to eliminate tramadol’s dependence on your mind and body. Tramadol detox is the only process to do it.
According to MedinePlus.gov, tramadol comes as a tablet, a solution (liquid), an extended-release (long-acting) tablet, and an extended-release (long-acting) capsule to take by mouth. The regular tablet and solution are taken usually with or without food every 4 to 6 hours as needed. The extended-release tablet and extended-release capsule should be taken once a day. Take the extended-release tablet and the extended-release capsule at about the same time of day every day.
If you are taking the extended-release capsule, you may take it with or without food. If you are taking the extended-release tablet, you should either always take it with food or always take it without food. Take tramadol exactly as directed. Do not take more medication as a single dose or take more doses per day than prescribed by your doctor. Taking more tramadol than prescribed by your doctor or in a way that is not recommended may cause serious side effects or death.
Tramadol use is on the rise. According to government statistics, tramadol prescriptions increased by 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 finding themselves in trouble. Between 2005 and 2011, the number of tramadol-related emergency room visits involving abuse or misuse increased by 250%.
Regardless of whether you are abusing it or taking it therapeutically, tramadol can cause tolerance and dependence. When you become physically dependent on a drug, you experience withdrawal symptoms when you stop taking it without going through a medically-supervised tramadol detox.
During tramadol withdrawal, you can expect to feel flu-ish and sick to your stomach. You may sweat and have chills. You might have trouble sleeping and feel much more irritated and aggravated than usual. You might also experience varying degrees of anxiety and depression.
Tramadol withdrawal symptoms typically begin within one or two days of your last dose and usually resolve in about a week.
In most cases, the symptoms of tramadol withdrawal are going to be less intense than those that occur with other opioids, like heroin and oxycodone. Tramadol’s effects on the opioid receptors are comparatively mild, which means that it will be easier for your brain to adjust 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 your level of pain and history of substance abuse. An opioid use disorder (addiction) presents additional complications. If you want to heal yourself from this, you need to eliminate tramadol’s dependence on your mind and body. Tramadol detox is the only process to do it.
Signs and Symptoms of Tramadol Detox & Withdrawal
An important study published in 2011 established, for the first time, that humans can become physically dependent on tramadol. This is true even when taking it as directed by a doctor. When someone is physically dependent on a drug, it means they will experience withdrawal symptoms when they stop or reduce their dose.
Tramadol works like an opioid, which means that many of its withdrawal symptoms resemble those of other opioid withdrawal syndromes. But unlike traditional opioids, tramadol has a significant effect on several of the brain’s other neurotransmitters, including serotonin.
Because of this, you may experience additional withdrawal symptoms, including those more commonly associated with antidepressant withdrawal.
When withdrawing from tramadol, you may experience any of the following symptoms:
- Nausea or vomiting
- Loss of appetite
- Panic, paranoia, or panic attacks
- Aches and pains in the muscles or joints
- Trouble falling or staying asleep
- Runny nose, sneezing, or coughing
- Abdominal cramps
- Restless leg syndrome
- Confusion or delirium
- Increased blood pressure or heart rate
- Fast breathing
Everyone’s withdrawal and tramadol detox experience is different. It is impossible to predict exactly when your symptoms will start, how long they will last, or how severe they will be.
Things that can influence your withdrawal and tramadol detox experience include the duration of your drug use, how much you use, and how often you use. Other factors that can influence your withdrawal include:
- Your mental health
- Your other drug use
- Your history with substance abuse
- Your health
- Your age
In a typical healthy adult, tramadol withdrawal begins one to two days after the last dose, peaks after day three, and subsides within one to two weeks.
Tramadol Detox Process
If you’ve been taking tramadol for pain and found that reducing or stopping your dose causes uncomfortable symptoms, there are steps you can take to treat or avoid them, but you will need the help of a doctor or a medical tramadol detox facility.
A tramadol taper is the simplest and most reliable way of preventing withdrawal before it begins. Tapering tramadol means that you take gradually smaller doses over the course of two or three weeks. There is no universal taper schedule that can tell you when to reduce your dose or by how much, so it is best done with the help of a doctor. Studies have shown that psychosocial approaches in conjunction with pharmacological interventions may improve outcomes as well. When done right, a taper should provide a smooth transition off of tramadol.
Several case studies have found that benzodiazepines, like clonazepam or lorazepam, can help reduce tramadol withdrawal symptoms. This is particularly true in cases where anxiety, agitation, or restlessness is present.
Other drugs that have been used to treat tramadol withdrawal include the hypertension medications clonidine and moxonidine. These drugs have a history of success being used off-label in the treatment of opioid withdrawal.
Tramadol Detox: Warnings
Some people are at greater risk of a 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 ER 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 painkiller or sedative.
When people use several therapeutic or illicit drugs at the same time, they can develop multiple physical dependencies. If you have been combining or alternating your tramadol dose with another painkiller, like hydrocodone, your opioid dependence may be more severe.
If you have become physically dependent on anti-anxiety medications (benzodiazepines) you are at risk of dangerous withdrawal complications, including seizures and delirium.
Tramadol is also associated with seizure activity. Seizures can occur in people both with and without a history of seizures. People with a history of seizures or traumatic brain injury may be at increased risk during tramadol detox and withdrawal. Tramadol has been shown to lower the seizure threshold, making seizures more likely to occur. Your risk is also increased if you are taking other medications that lower the seizure threshold, such as antipsychotics.
People over the age of 65 are also at increased risk of withdrawal complications. Older adults metabolize tramadol slower than younger people. This means that the drug has more powerful effects. In older adults, withdrawal may start later than normal and be more severe.
While it is not common, some people do appear to be more sensitive to tramadol detox and withdrawal than others. If you or someone you love is experiencing confusion, hallucinations, delusions, or severe agitation, then you should bring them to the nearest emergency room.
One other 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 typically occurs when you combine tramadol with one or more medications that also affect your body’s serotonin levels, such as antidepressants, MAOIs, migraine medications, or illicit drugs. Symptoms of serotonin syndrome, which can be deadly without treatment, include rapid heart rate, dilated pupils, twitching or rigid muscles, and heavy sweating.
If you developed a physical dependence on tramadol because you spent several months or years taking a therapeutic dose for your pain, then you probably won’t need any additional treatment. A taper during a tramadol detox should be enough to help you quit, as long as you have a plan to handle your pain in the future.
But if you are among the many people who misuse or abuse tramadol, then you have a long road ahead of you. Tramadol misuse means taking it in any way other than prescribed by your doctor, including taking larger or more frequent doses than you’re supposed to or mixing it with other medications. Tramadol abuse is when you use it to get high, use it to intensify the high of another drug, or use it 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 surrounding 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 a slow tramadol taper or the addition of opioid maintenance medications like buprenorphine or methadone.
Some people choose to work one-on-one with a drug counselor or psychiatrist who can prescribe medication. Whereas others prefer the abstinence-based 12-step model. All of these methods have been shown to encourage long-term sobriety.
In the long-term, many people chose the convenience of a free 12-step group, like Narcotics Anonymous. These social support groups are offered every day around the country. At meetings, you swap 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 addiction.
Reclaim Your Life With Tramadol Detox
Tramadol addiction is a condition that can cause major health, social and economic problems that should not be taken lightly. We Level Up California can provide you, or someone you love, the tools to recover from addiction with professional and safe tramadol detox. Feel free to call us to speak with one of our counselors. We can inform you about this condition by giving you relevant information. Our specialists know what you are going through. Please know that each call is private and confidential.
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 Bush DM. Emergency Department Visits for Drug Misuse or Abuse Involving the Pain Mediation Tramadol. The CBHSQ Report. Substance Abuse and Mental Health Services Administration. Published May 14, 2015.
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 Simon LV, Keenaghan M. Serotonin Syndrome. StatPearls. National Institutes of Health.
 Mental Health and Substance Use Disorders. Substance Abuse and Mental Health Services Administration.