Hi Deb,
It's really all a question of vocabulary.
Ultram is not a narcotic, it's not an opiate, but it IS an opioid. What's the difference? I don't think it matters at all from the point of view of the user. It's a synthetic drug that acts on the same parts of the brain that vicodin, oxy, and all the opiods act on. It has the additional feature of being an SSRI, which contributes to its ability to relieve pain and also boosts your mood. The combination of the opioid and the SSRI can make you feel really good, but it also makes this drug BEASTLY to get off once you start.
The drug company that developed Ultram has studies that show it causes addiction about half as often as vicodin does, so they use that as the basis for selling it as "safe." Something half as addictive as vicodin is still pretty addictive. And we have to remember that a lot of people who use opiates never get high and therefore never get addicted. That's easy for people like us to forget.
I never heard that combining Ultram with another opioid would put you in withdrawal. Basically you'd just be using two different opioids. You'd probably feel lousy and mega-drugged, but I've never heard that business about withdrawal.
Ultram is not a good alternative if you're looking to avoid addiction. Even the manufacturer says it should not be prescribed to patients with a history of drug abuse. Speaking as an experienced addict, I would rather detox from vicodin five times than have to detox from Ultram again. It's a miserable detox. I've read posts from many other experienced users who say it's the worst withdrawal they're ever gone through. I'm pretty resilient, and I was not right physically for MONTHS after I got clean.
Not good news, but the truth will set you free.
Take care,
Maisie