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Tramadol Withdrawal
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Tramadol Withdrawal

I am currently 34 days in recovery from a 7 year addiction to Tramadol.  During those 7 years I took an average 800 mg a day and as many as 1200 mg a day.  My problem is that I feel worse 34 days into recovery than I did 10 days in.  I can’t fall to sleep at night without taking 50-75 mg of Trazadone and I never stay asleep waking several times during the night and never sleeping past 5:00 am.  I feel constantly fatigued.  After mowing the lawn or walking for 30 minutes I feel like I just ran a marathon.  My eyes always feel like I have been crying all night long.  My fellow addicts in NA who have withdrawn from opiates like oxycodone or hydrocodone or even heroin are surprised I still feel as bad as I do.  My questions are:  How long can I expect this to last and is there anything I can do to ease these symptoms?  I am a 58 year old male, 5’10” and 200 lbs.  I do not smoke.  Also, my primary care manager doesn’t know much about opiate withdrawal symptoms and as a result isn’t much help.  How does one find a doctor with knowledge and experience with opiate withdrawal and should I be looking for a medical doctor or a physiatrist?  
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Even though Tramadol is not considered a true narcotic medication and is relatively easily prescribed for pain by some physicians, it is as you have found out quite addictive and difficult to quit. As you already know, it usually takes several weeks of the really nasty symptoms of acute withdrawal, followed by several months of just insomnia and general weakness and depression. A physician may be able to prescribe you some Requip for the restless leg syndrome and possibly something like Seroquel low dose for the insomnia.
The reason for this longer depression and insomnia symptoms is because Tramadol has an effect on the serotonin receptor in the central nervous system.   That means you may also need an SSRI antidepressant to deal with some depression that may develop as the result of your withdrawal. But it does get better and better every day, so please don’t give up.  I encourage you to look at my blog on Tramadol misuse for more info  by clicking on my name and you may be interested in taking a look at my clinic’s website, www.mdsdrugdetox.com since we often detox patients with Tramadol addictions.
Once you get through the rest of withdrawals, the only thing you should keep in mind is as people start to feel really good after a few months out; they forget how bad the withdrawal really was and think they can start using again.  Just once or twice....  and they get caught up yet again.  Please try to remember how bad it is right now and stay far away from all drugs in the future.  It is just not worth it.
Good luck to you and my best wishes.
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Julia M Aharonov, DOBlank
MDS Rapid Drug Detox
Southfield, MI
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