
What Causes Headaches And Itchy Buttocks While On Tramadol?

Question: Hello Doctor, I am a 57 y/o male, law professor. I am a retired army colonel and sustained injuries resulting in numerous surgeries. I had a major surgery this last April to fuse my upper fibula to the tibia/lower knee with screws and bone grafts. Tough recovery. I have been taking a very low dose ( low dose based on my desires) of hydrocodone/Tylenol 5/325 T.I.D for six months. I also take klonipln (3mg daily - been taking same dose for 12 years for "panic disorder"). Additionally, I have been on 200mg 1xdaily of Welbutrin for 7 years (less than common therapeutic dose I know). Yesterday my doctor added 50mg of Tramadol T.I.D.. I discussed my concerns about seizures and agonist opiate withdrawal, she ( doctor ) laughed at me saying" you do not have a seizure disorder and you are taking a very low dosage of hydrocodone so do not worry about either concern! I took Tramadol 8 years ago for a short time ( two months) ( same doctor) only difference then was I was "not" also taking low dose hydrocodone. ( I "was" taking same dosages of klonipln and Welbutrin) Only problem back then ( when taking Tramadol) was occasional headaches and (seriously) my butt checks, and only my butt cheeks inched like hell!! Need a second opinion!! Thank you
Brief Answer:
Tramadol can be an add on indication for chronic moderate pain
Detailed Answer:
Hello, Sir.
I can understand your concern.
The risk of seizures is extremely low Tramadol.
Its incidence is <1%.
Dosages not exceeding 400mg/day is safe.
A dosage of 50 mg TID is relatively safe for 1-2 months.
Occasional headaches are common with tramadol and resolve spontaneously.
Post your further queries if any.
Thank you.
Tramadol can be an add on indication for chronic moderate pain
Detailed Answer:
Hello, Sir.
I can understand your concern.
The risk of seizures is extremely low Tramadol.
Its incidence is <1%.
Dosages not exceeding 400mg/day is safe.
A dosage of 50 mg TID is relatively safe for 1-2 months.
Occasional headaches are common with tramadol and resolve spontaneously.
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Raju A.T


Brief Answer:
Withdrawal syndrome with Tramadol use is very rare.
Detailed Answer:
Hello, Sir.
I can understand your concerns.
I apologize for the delayed response.
The association of withdrawal syndrome with Tramadol(even with the use of Hydrocodone) is extremely rare.
So You need not worry.
Even many research studies state the association of Withdrawal syndrome with Tramadol to be very rare(2.27%).
Post your further queries if any,
Thank you.
Withdrawal syndrome with Tramadol use is very rare.
Detailed Answer:
Hello, Sir.
I can understand your concerns.
I apologize for the delayed response.
The association of withdrawal syndrome with Tramadol(even with the use of Hydrocodone) is extremely rare.
So You need not worry.
Even many research studies state the association of Withdrawal syndrome with Tramadol to be very rare(2.27%).
Post your further queries if any,
Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
