As of a few weeks ago, I became aware that my boyfriend of 1.5 years has been addicted to Tramadol for the past 10 years! He is diabetic, so various medications in his bag was no concern. His 6 month prescription was running out and it was stressing him, therefore he started to come clean about what he was actually doing. I felt absolutely sick, so I read EVERYTHING I possibly could about this drug and none of it was good! Clearly I would not be alright with this habit, so I really do give him credit for fessing up and making the decision to quit this poison. I feel like the doctors in his life have been irresponsible with allowing him to continue for so long with vague reasons from the patient, for staying on this horribly addictive drug.
Years ago I took Paxil for about 6 months, getting used to it was so awful that when it was time, I weaned off super slow in order to NOT feel any of that weird chemical withdrawal. That is all I have to go on with helping my boyfriend come off the Tramadol because his doctor has been no help!
When he contacted his doctor about wanting ONE month instead of 6 month refill to wean off slowly, she offered NO suggestions about safely coming off, just gave him 90 more pills! This make my blood boil! He still had 30 or so, 50mg tablets left so together we decided on a cut back schedule that he could tolerate. Luckily he's done a lot better than the last time he tried to come off and he is NOT refilling the 90 pills! Did I mention how proud I am of him?
All this is leading up to my question about dropping the dose...
His 10 yr. habit was 50mg 4-5 times per day.
Dropped to 25 mg 4 times per day for a week. (I had to give him an old Librium 5mg to get through the first night)
He needed Immodium for the next drop in dosage.
Fast forward another week and he is now on 25mg once a day for this whole week.
Pharmacist suggested 25mg every other day for an additional week.
I've been giving him half a Benedryl at night to help him sleep and now started giving him B-Compex to combat his extreme fatigue.
He wants to be DONE but I don't want to hurt him.....Is this slow enough for a long time user?
BUT - please - since he is diabetic I would not give ANY kind of medication or even vitamin/supplement unless he has had it before and knows he can tolerate it. The very best situation would involve talking to his dr. about all of this but it sounds like he has already tried that. In any case, if he/you are in even the slightest doubt that he is in any kind of physical danger take him to an ER immediately. The withdrawal symptoms will last a few days; and usually peak about day 3 or 4 (but everyone is different). Tramadol has anti-depressant properties as well which will mean he will likely have some emotional issues to deal with once the physical w/d is over. It doesn't mean he's gonna want to jump off a building or anything, but he will likely have some ups and downs. This is NORMAL with this drug and with the proper aftercare and support he will do just fine. For now, just help him get through the detox. Think of it like the flu; that is what a lot of people compare it to physically. You are a Godsend - he is lucky to have you and will need your support in the days ahead. There are tons of people on this site with lots of info, experience and support.
REALLY IMPORTANT to - make sure he eats healthy (even if he doesn't feel like it) soup, crackers, etc., and keeps hydrated. Good luck and keep posting progress