Brief Answer:
Please see description

Detailed Answer:
Hello

Thank You for contacting HCM. My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. Tramadol is composed of 2 primary components, both of which can induce a syndrome of withdrawal, even in isolation:

1. An opioid-like half
2. An antidepressant-like half

> Opiate Tapering Guidelines:
a. You can drop by as much as 10% daily or reduce by as slowly as 5% every 2 weeks.
b. Slow the taper rate by half once you reach a third of your starting dose.
c. If experiencing severe withdrawal symptoms, hold on a dose until they subside.

> Antidepressant Tapering Guidelines
According to the Royal College of Psychiatrists (UK):

a. Go slow
b. If you’ve been using for less than 8 weeks, taper down over 1 to 2 weeks.
c. If you’ve been using for up to 6 months or so, taper down over a 6 to 8 week period.
d. If you’ve been using chronically, don’t reduce your total dose by more than 25% every 4 to 6 weeks


>> EXAMPLE:
Example - A 12 Week Program:

Reducing your daily dose by 20% every 3 days and then slowing to a 10% reduction every 3 days once at a third of your starting dose.

Day 1 – 640 mg
Day 4 – 512 mg
Day 7 – 410 mg
Day 10 – 328 mg
Day 13 – 262 mg
Day 16 – 236 mg
Day 19 – 212 mg
Day 22 – 191 mg
Day 25 – 171 mg
Day 28 – 155 mg
Day 31 – 139 mg
Day 34 – 125 mg
Day 37 – 113 mg
Day 40 – 102 mg
Day 43 – 91 mg
Day 46 – 82 mg
Day 49 – 74 mg
Day 52 – 67 mg
Day 55 – 60 mg
Day 58 – 54 mg
Day 61 – 49 mg
Day 64 – 44 mg
Day 67 – 39 mg
Day 70 – 35 mg
Day 73 – 32 mg
Day 76 – 29 mg
Day 79 – 26 mg
Day 82 – 23 mg


Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

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