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how many days to detox off 20-35 tramadol per day?

I've been on Tramadol for 2 or more years.  I went up to 15 recently, and am surprised by how many I've taken recently.  I am checking into a detox.  They will only keep me 6 days.  How many days will it take?  Please help.  
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Avatar universal
I can taper down in the next few days.  I am going in patient.  The suboxone is suppose to reduce the intensity and the length of the wd.  I think I can get down to maybe 12, should that be enough?  Also, I won't have anymore pills to taper with.  My daughter has taken 3 days off work, so can cover me from Mon - Fri, its almost perfect.  When I am home alone?  They said I'd be ok in 6 days???  I live alone with 2 dogs.  I do go to AA.  I was at 10 per day just a few weeks ago maybe even two, I don't think its as bad as I've made it.  I will take as few as possible tomorrow and let you know.  Its the best I can get down to, no one will help me taper and left to my own devices it is much worse.  I need hope.  I am on the zoloft, 125 mgs.  I know about the serotonin wd it is terrible.  Without my zoloft I get very emotional and anxious, almost out of my mind, crying spells.  I stopped my zoloft before and it was a bad idea.  I took it the whole week I was taking the 30+ pills, oops, ....................I'm so fearful right now, the next few days I'm going to be so scared, I want to start now (tapering) but afraid of the withdrawals this week and how messy my house will look when anyone comes in to take care of my dogs.  The only other detox is no taper and only catapress which is like clonidine.  I'm going to talk to my dr. tomorrow and ask her all that I will need.  I have requip for restless leg syndrome, and willl have a muscle relaxer., zoloft will help me with the serotonin wd.  I can buy immodium.  I can hopefully get my dd to pick me up Sat from hospital.  Tramahater, if I get down to 12 should I be okay?
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Avatar universal
Ok, I have been clean since March, avisg has been clean for an eternity and vicki is a nurse.  I don't think any of us think that sub is the answer to this!  What is going to happen to you when the 6 days are up and you are home alone?  Is there any way at all that you could try tapering one more time and maybe get the doctor to help you with the taper and some clonidine or something?  That is what I took to detox, and it really helps.

Think about it!
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Avatar universal
Okay...Where is this article/letter from?  Is this in reference to you? Are you taking zoloft now??

You know what?  If this were ME,I would go into detox in-patient,not take suboxone,get
myself to NA,find a sponsor and devote my life to being sober. But,that's just me. With Tramadol there are some tricky issues with the serotonin component.  You'll be far from home,alone,depending on some kind of transportation,I just don't like it.

Have you exhausted ALL other options??
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199177 tn?1490498534
It will be up to the doctor what they put you on .That is not the AD that I would think would be the best choice but I am not a doctor so hopefully they are very knowledgeable of tramdol I also hope the the sub doesn't not just put off the tram wd until you are off the sub.
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Avatar universal
I copied this article, part of it and it discusses the seretonin probablem.  Will zoloft take care of my seretonin problem?  I will not get addicted to suboxone.  Will I get addicted after 5 days? at only 11 pills?

…. I would suggest approaching the withdrawals from two perspectives.  To cover the serotonin withdrawal, replace the Ultram with a different serotonin reuptake blocker, specifically Prozac (fluoxetine).  Replacing the serotonin effect of Ultram will be tricky—if you just add Prozac you will risk causing serotonin syndrome, a not-uncommon result of combining an SSRI and Ultram.  I would add the Prozac a day or two before stopping the Ultram.  Somewhere down the line she can just stop the Prozac—which then tapers itself over weeks.  This is, by the way, a common technique to get a person off Paxil, which has a very short half-life.

I must add here that I am assuming that all of these things will be done under close medical supervision. Serotonin syndrome, or Ultram alone, can sometimes cause seizures; there are risks to seizures alone, but they become much more dangerous when they occur suddenly while a person is driving on a highway. These are just general ideas that may or may not be appropriate depending on your sister’s specific history and health status.

The prior considerations were concerned with the serotonin effects of Ultram. As for the opiate effects, a big decision must be made.  Suboxone puts addiction into remission, but doesn’t cure addiction.  There is a lot of silliness on the internet about Suboxone, mostly because of confusion on this issue.  The people who complain that they are ‘stuck on Suboxone’ miss the point of what Suboxone does.   Opiate addiction is a life-long condition that eventually destroys a person; Suboxone prevents that destruction by removing the obsession to use.  But there is no cure for addiction; if people stop Suboxone, they tend to relapse—unless they go through 12-step based treatment or get involved with meetings.   So to handle the opiate half of the withdrawals your sister would have a choice; she could take immodium and clonidine to reduce the opiate withdrawal symptoms, planning on becoming completely clean… or she could go on Suboxone to handle the opiate withdrawal symptoms—- and plan to be on Suboxone for a long time....
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Avatar universal
I just sent a message to Henry.  He's who I turn to when I'm unsure. He's very smart and has a lot of experience with sub.

Yes,I think there's hope. Definitely.  You're doing a wise thing to try to get yourself off the tram now that it's unmanageable.  You really took a large dose for a while!!

It's just that I am not sure how you will feel. I'd like to say you'll be fine but I don't know.
I'm thinking,logically,this will work. You're just not going to feel very good...but you have to do something.

Obviously,the folks at the detox know more so...Did they say anything about being narcotic free for a period of time prior to coming in?
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