The rheumatologist put me on Ultram / Tramadol last December ( he said 1 50mg tab every six hours). I have been taking 1/2 to 1 at bedtime as I decided the other was to much. He also had me on Trazadone / Desyrel at beditime. Had to stop that after a few days due to decreased kidney function - gianed 10 pounds of fluid in 5 days.
Anyway I started retaining fluids again ( not badly but did not want a repeat of before) last week and was not sure I liked the addictive properties of the Ultram after doing much research on the internet. I decided to go off the Ultram. Even after the low does and short time on it I had some withdrawl symptoms - why don't the docs tell you this rather then just writing out prescriptions. Any way I now feel worse then ever with the achying, tiredness and just generally not feeling well. I don't know if it is better to take something that is addicting or feel like ****.
Is it normal to feel worse after stopping meds ?- actually feel worse then before I started it in December.
Any advise is welcome as I have to go to work again in the morning and the way I have felt yesterday and today is not going to be easy.
I take tramadol from time to time, but not the dosage the physician suggested. I would have been a zombie-like creature had I done so. I take a half tablet only when really necessary. If I take the tablet only now and then, I don't seem to have any problems with withdrawal. Are you experiencing rebound headaches or ???? when you stop taking the Ultram?
No headache. Have restlessness of arms and legs and can not sleep at night. Have RLS anyway and this just went over the top. Also the general aching tiredness and weakness the past 2 mornings has been real bad. Took a little nap each morning around 11AM - have never done that in my life. Hopefully tomorrow will be better. I have never been a good sleeper and now is really bad. At least with the Ultram I was doing OK in the mornings with less pain and stiffness and sleeping fair most of the time.
From now on I plan do do like you said - only when really needed. Such a shame that it works but can be bad at the same time.
Hi my answer to this post is BE STRONG AND BE PATIENT !
I am new to this site, I was browsing mainly to see who else out there is in recovery or still in active withdrawal from Ultram/Tramadol? I will tell you my story. I have been on Ultram for 3 years going strong over a skiing accident where I hurt my back. I fell in love with the little devils and never thought ( admitted) I had a problem until not too long ago I caught myself popping about 8 at a time to relieve my aches, and this was about mid day, so about 14-16 for me so far. I would wake up ocassionaly early morning just covered in sweat , my tank would be ringing wet, my body hurt so bad , I would scurry to my purse to get my trams, 30 minutes later ' oh good to go, lah di dah...got lots ta' do, kids, school, work, no time to worry about this today now right?
WRONG ! For those who abuse, it only gets worse. The longer you deny yourself the problem and justify it with any means you can think up the longer you're denying yourself "your life". I have read all kinds of posts about trams and how not to come off of them and how this and how that..the truth is, IF YOU WANT IT BAD ENOUGH YOU CAN ACCOMPLISH IT! God won't give us more than we can handle, truly believe that. Your mind is more powerful than any regime ever thought up.
I feel for myself that I have experienced for the first time in my life and un proudly to say " hell on earth" is the first 3 days off of Ultram ( cold turkey) it's all the same isn't it?. ) but it passed and I'm still here.....each day is getting better. For the same amount of time it took you to get out of control with it, you have to probably equal that amount of time that it's going to take for you to feel some what "back to normal." So be fair about it, again no excuses.
If you have had an injury like me or something of similiar of nature , the aches and pains will always be there i'm sure, stick to Advil and get your life back. It's no fun when every minute of your day is spent counting pills and worrying about what to do "between gaps." (For those who know what that term means, this is for you") For those thinking about Ultram or not in to deep with it yet, I only hope you do your research, I think the best advice ( truthful , real in the flesh advice) is that of these message forums on health topics, drugs etc; visit as many as you can and read, read...( ie; A knowledgable Dr, will never prescribe Tram for a long period of time, nor tell you they are non-addicting.)
Only those in my shoes (addiction, opiate withdrawal etc) knows how it feels, how much we want others to understand how bad it feels, in hope that we can save at least "one person."
I am here for any ones support , if there's anyone out there in need to talk to someone......
Good Luck and God Bless to everyone out there in and beyond the dark tunnel. & Keep Smiling Thanks - Fancy. R. ( NY)
Last edited by Fancyface102; 05-30-2007 at 02:18 PM.
Sunny, sorry you are going through a difficult time with the Tramadol WDs(withdrawls). I have been there, and know the hardship of what you are experiencing is ugly. Rest assured that what you are feeling is "normal". The following is my own personal experience, and what I learned researching online to help me. Hope the information helps.
Being on any painkillers long term causes the body to build a natural tolerance dependency, which is VERY different than addiction. Addiction Specialists distinguish the difference between dependency and addiction as one's ability to self-manage prescriptions at dosing levels as prescribed; and those with addiction issues will cross that line and start seeking additional resource supplies, such as doctor shopping or ordering "extra"s from online resources. Unfortunately, er, both involve WDs. You can find some WD coping tips on this healthboard on the Addiction Board.
Tramadol and opiate painkillers work similarly by acting on the body's own opiate receptors.The first 4 days of stopping any such medication is pure hell. It does get better, but it takes time. The first week is really the worst. I went through the experience 3 times; Vicodin, Tramadol, Xanax. All caused by doctors who either didn't know or didn't care, and certainly never told me about any warnings. I learned the hard way I guess. The Xanax was the worst---it is a benzodiazepine and all of them have horrible WDs. For me, and others, Tramadol WDs were actually worse than Vicodin WDs. The Tramadol seems to have a neurological path impact that doesn't seem to happen with Vicodin.
For me, what I try to do now to disrupt the tolerance building cycle is two things:
1) about every 2 weeks I stop for 1-3 days to allow my body to reacclimate itself---preferrably at least for 2 days so that I can evaluate how my body is reacting. If I start to get very anxious and develop fllu-like symptoms with very increased pain all over (beyond areas of pain that caused me to first start the drug in the first place) then I know I really need to self-detox my system and come off of all pain meds for 1-2 weeks. If the body is not allowed to reacclimate itself, a worse problem builds up. It is the hardship of managing a painkiller regimine.
2) not stay on the same drug for too long; rotate about every couple of months or so.
Luckily I was only on the Ultram for 4 months when I decided to stop them and was only taking 1/2 to 1 at bedtime. You are right the first week was the roughest. Restlessness and not sleeping. Am good to go now. Have taken 1/2 tab a few times over the past month but will never take it on a regular basis again. Am just glad I did not take it like the rheumy wanted me to 1 four times a day.
Good luck to everyone and thanks for your responses.
It is great you are able to manage ok w/o regular painkiller treatment. Unquestionably it is best to NOT take painkillers regularly. They are a short term solution not well suited to a long term problem. Plus their effectiveness is diminished over time as tolerance builds. There are no easy answers for how to manage the pain we live with FM.
Best wishes to all who are navigating these FM difficult waters ....which of course is made even more complicated when treatment includes painkiller management. I have tried so many different things trying to find relief and get my life back. This or that may seem to work for awhile for me, then boom that suddenly isn't working or I get complications..........ugh
I have caught a few of your postings, this one and also the detox remedy one, all I have to say is awesome.!" Very informative and knowledgable stuff there, I wish I had come across it before I decided to self detox , however I'm doing pretty well on my own.... (so far) you are right with whatever works for that individual, each one is going to take the experience as their own. The heating pad and I've become very close
What are the Xanex WD like? I have a best friend in need of help with those, she's afraid to try , I took those at a very minimum so I'm not all to sure if it's the same to expect as from the Trams. And would you say in your opinion the first week of WD ( any) is more of the physical ( pain , fllu etc) and the next week would follow more of the neurological part of it all?
Hey there, glad you found the posts helpful. At the time I had no idea that RX meds taken as prescribed could get you into trouble; they can. Tolerance dependency builds irrespective of "why" you are taking them...even when taken only as prescribed for medical reasons.
Detox is pure hell which is why those who can afford it try to do it professionally. Those with addiction problems are more likely to need professional detox since the reason they are in trouble is their inability to self-manage meds or taking meds for recreational rather medical reasons. I would think that most individuals with just typical tolerance dependency issues and determination can self-detox. And, in my opinon the best way to self-detox is the taper approach. Usually, those with abuse issues can not taper as taper involves the ability to self-regulate; they can't. For them, cold turkey quitting is about the only way to self-detox---but never CT quit w/xanax...NEVER (see below).
The first time I went through it was hell, I got scared because I had no frame of reference as to how bad it would get....especially with the Xanax one. To clarify the WDs, yes the first week is the worst, but most have said that it really takes about 30 days total until you really feel back to normal. I personally think how long depends on how long one has been on it as there were a lot of folks from the Addiction Board who used the Home Detox Post on that board and reported they felt great after the first week and others after 2 weeks.....long term heavy users longer 30+ days. We all have unique body chemistries so how we respond is unique to us.
The first week is intense physical pain all over w/flu like symptoms, nausea, almost always including diahhreah for most. It also includes intense anxiety, emotions w/depression crying etc., and inability to sleep or rest which goes to fatigue fast and usually renders you useless unable to get out of bed for a week, which will make FM symptoms worse and throw one into fibro flare.....which is why pain management is especially challenging for us. A self detox must be researched, well planned, and scheduled w/considerations to time off from work, making arrangements for someone else to taking responsibility for child care of little ones, and advanced purchasing of selected OTC coping aids, etc. One one is into the process it takes all you can do to take care of just yourself, and you will need all of your energy and concentration focus to manage your own needs for the first week.
In most detoxes the worst days are usually about day 3-4. After day 4-5 things start to subside, but leave you wrung out and exhausted. One of the distinguishably different things with Xanax though is that if a taper is too fast it will cause a feeling of band like tightening around the head which is a potentially dangerous sign since xanax detox is CRITICAL to taper...never never CT as it can result in grand mall seizure. Xanax is a short half life benzodiazepine, as I recall it is about 3-4 hours I think....which means this. The half life of a medication is the point at which the medication is half out of your system.....so, double the half life and that is how long it takes the drug to completely be out of your system. So it would help your friend if her doctor could switch her to one with a longer half life, usually Valium which has a MUCH longer half life, but that is why most doctors don't like prescribing so finding one who will could be a challenge. The best thing for your friend to do is read online as knowledge is power over fears and fears can cause a person to abandon their detox regimine. (
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Hope this helps, best wishes.
Last edited by moderator2; 05-31-2007 at 03:40 PM.
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