Like so many other opioid pain relievers, withdrawals from Tramadol can be uncomfortable, overwhelming, and maddening.
Recovering users are often faced with an onslaught of physical discomforts like gastrointestinal problems and muscle aches for days at a time. And on top of that, the psychological effects like insomnia and anxiety can be just as torturous.
These effects often drive tramadol abusers to turn back to using, thus starting the cycle of addiction all over again.
Tramadol is an opioid pain reliever (a.k.a. narcotic analgesic) that’s chemically similar to codeine, another popular opioid. However, tramadol is a synthetic opioid, meaning it’s entirely man-made and isn’t derived from the poppy plant like morphine, codeine, and thebaine – all naturally occurring opiates.
All opioids are good at relieving pain due to the fact that they stimulate the mu-opioid receptors in the body and the brain.
And in fact, tramadol is most commonly prescribed precisely for that – to help treat moderate to severe pain.
Unlike other opioids, however, tramadol also has antidepressant effects as well. Rather than making users drowsy, then, it can actually bring about feelings of energy and an uplifted mood.
This has to do with the fact that tramadol also has the dual effect of increasing the duration of norepinephrine and serotonin’s actions in the brain (serotonin-norepinephrine reuptake inhibitor or SNRI). These two chemicals, along with dopamine, are some of the most important for regulating mood.
It’s sold under a couple of different brand names including:
However, the medical community and the public as a whole are becoming increasingly aware that despite its earlier reputation, tramadol is in fact quite addictive. And just like any other drug, it can end up ruining lives.
Part of the danger of this drug comes from the particularly painful tramadol withdrawal process. Although many physicians claim that this drug doesn’t have any addiction potential, past users have actually described detoxing from this drug as more painful than other more infamous drugs like crystal meth, coke, and even heroin.
Before getting into tramadol’s unique withdrawal process, let’s take a quick look at withdrawal and detoxification as a whole. What are they? Are they necessary for recovery? And why do they happen?
Over the course of any addiction, the body and the mind become more and more used to a substance being in the bloodstream. In fact, it eventually becomes so normalized that the body can’t function regularly without the drug.
And over time, it takes more and more of the substance to produce the same effects, a phenomenon known as building tolerance.
When the drug is abruptly removed from an addict’s routine, the body struggles to readjust to functioning without it. And that readjustment period can produce some incredibly uncomfortable symptoms known as withdrawals.
This entire process is known as detoxification – when the body reacclimates to life without drugs and starts to function on its own again.
After drug use has stopped entirely, the body will naturally begin to detoxify itself all on its own. However, there are various tools, strategies, and medications that professional addiction facilities use to speed the process along and make it less painful throughout.
Tramadol is a deceptive drug. Many in the medical community claimed that this drug is far less addictive than other opioids and, ultimately, withdrawal from it is likely going to be much easier to get through.
The truth of the matter, however, is that quitting tramadol is no walk in the park. And in fact, some users have claimed that this type of withdrawal is actually far more difficult to get through than other opioids – even withdrawals from heavy hitters like heroin.
There are a couple of factors that play into why this first stage of recovering from a tramadol addiction is so painful for some. The first is that tramadol is a relatively slow-acting drug. And since the duration of the withdrawal process generally scales with how long it takes for the drugs to come into effect, detox can end up being longer than with other opioids.
The other reason is because of tramadol’s dual effect of treating pain and acting as an antidepressant. As a result, two areas of the brain and body are essentially being deprived of the drug they’ve grown dependent on, not just one.
And for some, that might mean that the process of withdrawal is even more intense.
Here are just some personal accounts of tramadol withdrawal collected from the online drug forums Bluelight and Drugs-Forum.
These can give a glimpse of what others have experienced when going through withdrawal from tramadol and provide a better idea of what to expect from the process.
Going cold turkey off tramadol is absolutely hideous without benzos. The withdrawals are not the same as 'single action' opiates/opioids. I'm sure you are aware of tram/tapen's anti-depressant effects. After just a few weeks of using tramadol and then stopping abruptly, I had some of the worst withdrawals I've ever experienced. I say that because there is a much more pronounced mental (ie. bizarre mindf***) aspect alongside the typical physical symptoms compared to those of oxy or morphine or even fentanyl… Cold turkey from these can be, no exaggeration, downright traumatic. Extreme depression and mental instability, bizarre and frightening dreams/hallucinations (including in the daytime when just sitting down zoning out), and a desperation/hopelessness that has you willing to do/take anything to make it stop.
Halif via Bluelight.org
Tramadol withdrawal is honestly the worst withdrawal I have gone through… I suffered possibly the worst withdrawals any person could imagine. I suffered from "brain shocks", feelings of electricity jolting throughout my body, constant body aches and pains of a severe degree, cold chills, cold sweats, inability to move due to the massive amount of pain, strange twitch movements, inability to sleep, constipation that resulted in 3+ weeks of not being able to pass a bowel movement… as well as many other equally horrific symptoms. This lasted for WEEKS! After the most recent suffer of withdrawal I swore never to touch this horrible drug again.
StonedStupid via Drugs-Forum.com
As others have said, the w/d from Tramadol can be the most miserable few days if not weeks of your life… I got zero sleep for a week, was not comfortable whatsoever for a week, had SEVERE restless syndrome at all hours, and the chills were the worst I had ever encountered.
I frankly don't care how "high" I could ever get off Tramadol....the w/d week was enough to make me never want to see that pill again
dlink01 via Drugs-Forum.com
Personally, I feel as though Tramadol withdrawal was worse than benzo withdrawal. At least for me. I think you're wrong in saying that Tramadol is easier to get off of than other opiates. For me, it was harder to get off of than heroin. Also, it has anti-depressant properties, so when you withdraw from Tramadol, it's like going through withdrawal from an SNRI and an opiate at the same time. I came off of Tramadol very slowly, and still went through the worse withdrawal of my life for 6 months.
GirlAnachronism via Drugs-Forum.com
As tramadol addicts go through detoxification, they’re likely to experience a wide range of symptoms, some of which can be quite uncomfortable. Plus, this type of drug withdrawal is composed of both physical and psychological symptoms as well.
It’s worth noting, however, that not everyone will experience the same exact symptoms of withdrawal as everyone else. On top of that, the duration of these symptoms is likely to vary from person to person. This process is typically highly unique to the individual.
That's because the types of symptoms, as well as their severity and duration, depend on a variety of factors, such as:
As you can see, there’s a lot that goes into withdrawal and not everyone’s experience is going to be the same.
Having said that, there are a variety of symptoms that most people will experience when quitting tramadol.
According to Mental Health Daily, some of the most common symptoms include:
This withdrawal syndrome is pretty consistent among most opioids, with different compounds producing various levels of intensity of the symptoms. However, as the Drug Enforcement Administration points out, this type of withdrawal only occurs in about 90% of tramadol detox cases.
As you can see, this is not a typical opioid. And as a result, it’s even more important that anyone trying to get through tramadol withdrawals should enlist the help of a proper addiction professional. Home detox from this drug can be uncomfortable, terrifying, and even deadly.
Going through tramadol detox is a process. And just like withdrawal timelines of other drugs, various symptoms are likely to pop up, and others are going to disappear entirely over the course of the process.
In general, there are three major stages of withdrawal, each with their own set of symptoms and unique timeline. Overall, detoxification from this type of opioid usually takes around 7 to 10 days, though it may take weeks and even months to fully recover for some people.
Stage 1 – The first stage of tramadol withdrawal usually begins within a day after the last dose. For some, it may be as soon as several hours after using, depending on the severity of the addiction.
Symptoms during this stage will continue to increase in severity and will generally peak in intensity around day 3 or 4 of the detox.
Some of the most common early symptoms of withdrawal from opioids like tramadol include:
Stage 2 – The second stage begins after the initial stage symptoms have peaked and started to subside. This stage is marked mostly by gastrointestinal problems. It can also come with symptoms similar to a much more intense version of the flu.
This stage will usually last for around 3 to 4 days and will generally start to subside around day 7 to 10 after last using.
Common symptoms during this stage include:
Stage 3 – This stage, also known as post-acute withdrawal syndrome or PAWS, is relatively rare and won’t affect everyone trying to kick their tramadol addiction. That being said, it’s important to learn a bit more about this unique syndrome, just in case.
People affected by PAWS will generally experience troubling symptoms long after the average duration of withdrawal has passed. In fact, some recovering tramadol addicts might actually not feel right for weeks, months, or even years after quitting.
With proper help from a professional addiction facility, the duration and severity of these symptoms can be reduced.
PAWS includes symptoms that aren’t quite the same as during earlier withdrawal. And in most cases, these symptoms are mainly psychological in nature. They include:
In general, at-home detoxification from tramadol should be avoided at all costs. Withdrawal is a complicated process, and when handled improperly, it can have dangerous and even fatal repercussions.
The most notable danger of trying to detox from opioids like tramadol at home rather than partnering with a professional facility is the increased risk of deadly overdose.
To explain, opioids have a tendency to build up tolerance quicker than many other drugs. In fact, studies have shown that tolerance to opioids can develop within hours of taking high doses.
But in the same way, tolerance to the drugs also drops quicker than normal as well. And if someone trying to quit tramadol ends up relapsing and using the same dosage as before to get high, it might actually be more than their body can take.
These accidental overdoses on opioids are a main source of the ever-rising death toll.
And since at-home detox carries with it a much higher risk of relapsing than detoxing with a professional facility, this form of getting through withdrawal is far more dangerous.
In addition to the danger of relapsing when going through withdrawal from tramadol addiction without professional help, there are a number of other complications that can end up being deadly if left untreated.
Some of the most common complications that may occur during detoxification include:
Partnering with a professional medical detox facility is by far the safest and most effective way of pushing through withdrawals and securing a strong foundation for the rest of recovery.
The knowledgeable staff and physicians in this program will not only provide expert advice and guidance for making detoxification as successful as possible but will also be able to administer life-saving care and treatment.
The many complications that can occur during detox, then, can be avoided entirely with medical detoxification from tramadol addiction.
Plus, professional detoxification may also make use of a variety of specialized medications that have been proven to make withdrawals much more manageable. These medications include:
Some of the most serious short-term side effects of abusing tramadol include:
One of the most dangerous short-term side effects of tramadol abuse is, of course, overdose. Like other opioids, tramadol tends to slow down the body’s natural rate of breathing. And when it’s taken at high doses or with other drugs, breathing can become so depressed that it can actually end up being deadly.
Some symptoms of a tramadol overdose to watch out for include:
In the long-term, tramadol abuse can and often does develop into a full-blown addiction. And besides the physical dependency that tends to develop alongside an addiction, there are plenty of other negative effects that addiction can cause. These include:
Tramadol abuse can also lead to a potentially fatal disorder called serotonin syndrome. It’s caused by a buildup of serotonin, one of the brain’s neurotransmitters. Since tramadol blocks the body’s natural reabsorption of serotonin, taking it improperly (either alone or with other drugs) can lead to the development of this serious condition.
Some symptoms of serotonin syndrome include:
Opioids like tramadol are both dangerous and highly addictive – that much is clear. But why do these drugs in particular cause so much of a problem for so many people today?
Why is it opioids that are behind some of the most shocking new statistics on overdose deaths today?
And why has the problem gotten so bad that drug overdose is now the #1 cause of death for Americans under the age of 50?
Part of the reason is that opioids like tramadol can end up building tolerance extremely quickly. In fact, according to the CDC, “as many as one in four patients receiving long-term opioid therapy in a primary care setting struggles with opioid addiction.”
Even when administered in a clinical setting, then, opioids can still become highly addictive. That’s because these drugs cause an intense and particularly pleasurable euphoria when taken improperly.
That high is caused by a flood of dopamine in the brain, the body’s primary pleasure neurotransmitter. Natural activities like exercising, eating, and having sex all cause a similar release of dopamine. But when opioids are abused, they tend to release much more.
Think of it like hijacking the body’s natural reward system.
Eventually, that system doesn’t work as well on its own. And soon, opioids like tramadol are the only things that can trigger the release of dopamine. The result is a bleak and joyless life where the only pleasure comes from abusing these drugs.
Added to that is the fact that the withdrawal symptoms from tramadol are, as we’ve seen, incredibly uncomfortable.
In the end, addiction is fueled by the fact that the brain becomes physically hardwired to be unable to experience pleasure without using drugs. And if an addict waits too long to use, they’ll start feeling sicker than they ever have in their life too.
It’s a vicious spiral. And it’s one that only professional treatment can break through.
Given just how addictive tramadol can be, you’d be surprised at how tough it can be to actually spot the symptoms of an addiction in the first place.
However, there are a few telltale signs of a substance use disorder to watch out for. And for tramadol addiction, these include:
If you think you or someone you know is struggling with an addiction to tramadol, there are a couple of other places you can look to get a better idea of how bad the problem has gotten.
For instance, you can take one of the addiction quizzes below to help narrow down the severity of the problem. Each only takes just a few minutes to complete and can be a vital first step towards getting clean for good.
You can also get in touch directly with an addiction professional for a free addiction phone assessment as well. These calls are a little more in-depth and usually take around 20 minutes. But this method also offers a much more personalized approach. Callers can ask questions, get clarifications, and even be directed to other helpful resources in the area.
And of course, each call is 100% obligation-free and completely confidential too.
In the end, the most important thing to remember is that getting treatment early on is the absolute best way of preventing a more long-term (and potentially permanent) addiction to this dangerous drug.
The first phase of tramadol addiction treatment is detoxification. This process is crucial for setting the proper foundation for recovery and when done properly, can significantly reduce the risk of relapse further down the line.
However, detox is only the first step on the road to recovery. And in fact, the National Institute on Drug Abuse (NIDA) points out that medical detoxification “by itself does little to change long-term drug use.”
In order for treatment to be effective, then, it has to be coupled with further care. And that care is rehabilitation.
While detox can be thought of as healing the body of an addiction, rehab is more focused on the mind. Addiction, after all, isn’t just about physical dependency. It’s about the patterns of drug-seeking behavior that become compulsive and out of a person’s control. And those behaviors all originate in the brain, not the body.
Rehab from addiction to tramadol helps addicts essentially rewire their brain and learn new methods of coping with stress and life as a whole. It’s a deeper, more important part of recovery that, sadly, most people don’t consider.
Rehabilitation usually comes in three different formats: inpatient, outpatient, and intensive outpatient.
There are a number of different therapies used in treating tramadol addiction and addiction as a whole. And the very best facilities will offer an enormous variety of approaches to treating this disease rather than just one cookie-cutter plan.
After all, one of NIDA’s 13 principles of effective treatment is that “No single treatment is appropriate for everyone.”
Some of the most common and effective treatments include:
As you can see, recovering from a tramadol addiction is no picnic. Despite the reputation it’s falsely earned in the medical community, this drug can be highly addictive and can cause serious substance use disorders when not used properly.
On top of that, tramadol withdrawals can be excruciating due to its dual nature as an opioid pain reliever and an SNRI antidepressant.
It’s critical, then, that if you or someone you love is struggling with an addiction to tramadol, you find the right professional addiction facility to partner with. Doing so will ensure the very best outcome of the detox process and will also protect their safety along the way.
And at Northpoint Washington, we’re proud to be one of the best tramadol addiction treatment programs available. Our clean and modern facility provides cutting-edge treatment that’s rooted in empirical evidence and is proven effective. On top of that, we offer fully individualized treatment plans – no cookie-cutter programs here.
Plus our staff-to-patient ratio is one of the highest in the area so you can be sure you’re getting the attention you deserve.
It’s these qualities and more that led us to be nationally accredited by the Joint Commission – a true testament to our exceptionally high standards of quality.
Do you have questions about addiction or treatment? Are you looking for a proven treatment facility to help you recover from your addiction to tramadol?
If so, give us a call today, and we can begin your recovery.
Sobriety is possible, and addiction isn’t a death sentence. And we’d love to help you get back control of your life again.
Please, get in touch today.