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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Safe Withdrawal Methods For Tramadol

Pls i want immediate help sir,am doom addicted to tramadol hcl,for up to 7 yrs,i want to quit but the withrawal is unimaginable,am communty health worker,and we lack rehab centers in nigeria,i searched for methadone as substitute coulndt find,pls subscribe me available drug as substitute so as to taper d tramadol
Mon, 22 Jun 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. Tramadol is an opioid drug and the drug is a dependence producing substance. The withdrawal method depends upon the doses you are taking and duration of abuse. Methadone can help in easing the symptoms but the drug is having more abuse potential than Tramadol so in my opinion that is not a good option for de-addiction treatment. The other option to come out of Tramadol is by reducing the doses of the drug gradually over about 8-10 weeks. Try to reduce the doses by 20% every two weeks and then stop the drug completely at about 8-10 weeks. Dose reduction in this manner will prevent any withdrawal symptoms. Apart from this pain killers like Diclofenac can help to reduce the pain. Medicines like Pregabalin or Gabapentine can help to reduce the anxiety due to withdrawal and will reduce the pain also. Please visit a doctor for evaluation and proper prescription.

Thanks, I hope this helps you. Take care

Dr. Seikhoo Bishnoi,
Psychiatrist.
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Suggest Safe Withdrawal Methods For Tramadol

Hello thanks for asking from HCM for your health related queries I can understand your concern. Tramadol is an opioid drug and the drug is a dependence producing substance. The withdrawal method depends upon the doses you are taking and duration of abuse. Methadone can help in easing the symptoms but the drug is having more abuse potential than Tramadol so in my opinion that is not a good option for de-addiction treatment. The other option to come out of Tramadol is by reducing the doses of the drug gradually over about 8-10 weeks. Try to reduce the doses by 20% every two weeks and then stop the drug completely at about 8-10 weeks. Dose reduction in this manner will prevent any withdrawal symptoms. Apart from this pain killers like Diclofenac can help to reduce the pain. Medicines like Pregabalin or Gabapentine can help to reduce the anxiety due to withdrawal and will reduce the pain also. Please visit a doctor for evaluation and proper prescription. Thanks, I hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.