Usually after 12 hours without opiades the body starts to go into W/D, the
tramadol will help slightly, but it's a penny compared to a dollar in strength. Call the office and see if you can drop by and pick up your next script early, they should be concerened that you're out and will go into W/D, but also question why you ran out early.
Be careful, one of the signs of addiction rather then dependance is taking your meds before the refill date, you don't want put into that category, they may consider you for pain mgmt.
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