Does anyone have a good tapering schedule for tramadol?
Question posted by Determined89 on 6 Jan 2014
Last updated on 21 June 2020
I have been taking tramadol now for about 2 years. I am up to taking 600 mg. (3 in the morning and 3 in the evening). I started out taking it for back pain but really liked the way it gave me energy and I could get a lot done. Because of this I feel like I'm abusing it and want to get off of it. I have read all over about how the withdrawal is almost unbearable and I'm so scared of facing it! I haven't told my husband. I would really prefer to get through this myself so that I can get back to normal for him and for my two kids, 5 and 6 years old. I have a few more left and think I can get another prescription so that I can taper off but am in need of a tapering schedule that will work. I know that this won't take the withdrawal symptoms away completely but I need to be able to go to work and take care of my family, even though I know I will feel like crap :( I went through my medicine cabinet to see if there are any medicines that I haven't taken in a while but might help:
Buspirone - for anxiety Effexor - for anxiety (I only have a few) Tizanidine - muscle relaxer Phenergan - for nausea Clondine - blood pressure (is supposed to help with chills and sweating) Adderall - ? not sure if this could be helpful Immodium - for diarrhea Ibuprofen - 800 mg. for pain Bath salts & jacuzzi tub - for muscle aches Icy Hot Gift cards for massages
I have read the Thomas recipe and will go out to buy some other things like Tylenol PM, Vitamins, Vitamin B6 caps, L-Tyrosine, etc... Is there any advice that anyone can give to help me through this? Mainly I'm here for support because I know that if there is someone I can talk to, I will stick to it and get through it! I have to post daily to make myself accountable and to beat this. I'm tired of waiting for my next refill and spending so much money at the doctor. I'm tired of being moody and dependent. My back pain is better I know it. I can't wait to get back to normal! Thank you!
Added 6 Jan 2014:
I'm sorry, I can't add! :) I take 300 mg a day! 3x50mg in the morning and 3x50mg in the evening.
ULTRAM (Tramadol HCL Tablets) Taper Schedule: A safe and effective taper from this particular medication should be a reduction of 1/2 tablet per week. Example: Total daily dose of 400mg (which equals 8 tablets per day). First week reduce dosage from 400mg per day to 375mg per day (7 1/2 tablets daily). Second week reduce dosage from 375mg per day to 350mg per day (7 tablets daily). Third week reduce dosage from 350mg to 325mg per day (6 1/2 tablets daily). Forth week reduce dosage from 325mg per day to 300mg per day (6 tablets daily). Fifth week reduce from 300mg per day to 275mg (5 1/2 tablets per day). Etc., etc. Each week reduce dosage by 1/2 tablet and the final week, reduce the 1/2 tablet in half for the last week and that’s it, no withdrawal, no more dependency.
THIS TAPER SCHEDULE IS CONSIDERED A MODERATE TAPER AND WORKS WELL FOR MOST PEOPLE. IF YOUR LESS SENSITIVE, YOU MAY REDUCE DOSAGE BY 1/2 TABLET EVERY THREE OR FOUR DAYS INSTEAD OF WEEKLY, THIS WILL GET YOU OFF TRAMADOL MUCH FASTER AND STILL BE SAFE. It’s often better to discuss your taper with a trusted friend or loved one so that they can keep you motivated and help you stick to your regimen of reduction. Good Luck!
3 June 2019
I have been on tramadol 400 mg a day for 2 months, if I stop will I have withdrawals?
4 March 2019
How did everything work out?
22 Aug 2018
Hi. Your best bet is to ask a your doctor to prescribe a tapering prescription that goes to a compounding pharmacy. I'd ask a specifically qualified withdrawal health care professional to advise you too. Give him or her your entire history with this drug. Everyone is different. I hope this helps you Kevin
21 Aug 2018
If you want minimal withdrawal symptoms, then taper very slowly.
28 May 2018
@Determined89 Were you able to taper off? I've been taking 250 mg tramadol for the last 4-5 years and my pain is much better now plus my doctor told me no more. I've been tapering but feel like hell. It's this constant fatigue, malaise, night sweats, and I'm not "happy" so to speak. I'm going to have blood work done soon to rule out hormonal issues etc. but can I take maybe Prozac 10 mg to help with my mood? Yes, I take Tyrosine plus vitamins B, C, D, fish oil etc.
30 April 2018
Hi, I was put on it like 2 years ago for back stenosis and arthritis. I started with 50mg 1x daily for like a year. It worked miracles because it gave me so much energy and took all the pain away. After a year I started taking 2x a day 50mg, 100mg daily total. Its not alot but it works magic. I had a brain mri and it showed about 6 white matter spots. Started seeing a neurologist recently and he says even one tramadol can cause a seizure when you have scars on the brain. Im ready to come off it completely now since the thought of a seizure scares me. I Never had any symptoms on it, except 3 days ago. I ended up in the hospital because I felt i was going to faint. At the hospital they didnt find anything wrong. The next day i felt better but with light headache . Then today I got that same faint feeling again and its freaking me out. Not sure if the tramadol is messing with me or could it be a panic attack . Ill ask my neurologist tomorrow.
Regardless , I cut it down to 1x day 50mg. Ill do that for a week then half of 50mg for another week 25mg then one day yes one day no for like 4 days. Its important to come off any drug that impares the brain. I know its a hard journey but it has to be done. With lots of effort and emphasis it can be achieved. Once we realize we dont NEED to depend on a drug to make us feel normal or good we will feel free again. Atleast im hoping and praying i succeed. I wish you all the luck and blessings and just think it can and must be done!!! Good luck.
11 March 2018
Hi there... I'm in the same boat as you. I was told to take Tramadol for pain after my back surgery, which was last oct. Well I like the way it gives me energy in the late afternoon. I can get stuff done. Before surgery, I could get everything done and more, but now I'm on Tramadol and want to get off of it, so I just stopped taking it... didn't like the way I felt, so now I'm back on it. Didn't know how to ease off of it and got really worried that I was gonna be on this stuff for ever. I'm glad to read that there is a way to deal with this. I hope that you are doing ok. If you need to reach out to someone else who is going through the same, I'm here!
9 April 2016
I just wanted to ask you a question first if you don't mind? How did you get a prescription for 600mg? The highest and most safest dosage is 400mg a day. Please don't think I'm here to judge because I certainly am not at all I promise you that. I really can't help very much other than ask your Dr to wean you off and he or she can do it slowly and safely and monitor you for any adverse reactions and there is always the fear and possibility of having a seizure! Good Luck and would love to know how it goes if possible?
21 Jan 2016
Hello! I am in the same boat as you but without any meds to help with withdrawals. Nobody knows I am using Tramadol daily but I can tell it is affecting my relationships in a negative way. I just don't have the energy I used it which is ironic because I've read where others used it to GET energy. Did tapering 50 mgs a week work for you? I'd sure like to hear how it went for you as I begin to travel down the same road...
18 Aug 2014
I need some serious help too. New to this site. I need to get off this evil medicine. Who can I talk too?
11 Aug 2014
I am also trying to wean off tramadol. I have been taking 50mg daily for a year. I find it really enhances my mood so thats been my recent main reason for taking it, but I originally started it for back pain which I have on occasion now. I am at 2 days at 25mg, from what I read here, it looks like going a week at that dosage and then to either none or less, Im anxious about it because its helped my mood, focus and energy. Which seems like a non-typical effect, but it does affect the serotonin, which is probably why this is hard to wean off. I feel awesome when I take it, so I'm nervous to be reducing it. I have tried zoloft in the past but it had some side effects and I don't really want to be on an anti-depressant if I can somehow treat it more naturally.
14 Jan 2014
hi! I'm also trying to taper off Tramadol. I've been taking it for three or four years, can't really remember... ( It is hard and it hurts. The worst so far for me are the night sweats when I can actually sleep. I wake in a pool of sweat with my clothes drenched. Pretty gross. I'm also very irritable but that's to be expected it guess. I'm down to 100mg twice a day. I think I will taper by reducing 50 mg a week. I tried to cut my dose in half the last three days and I feel like crap. I do feel for you because when I did work it is so difficult to try to kick these meds. I know how you feel by wanting to keep this from your husband. I am the same way. I wish you the best of luck and believe in yourself. you can do this! keep posting!
6 Jan 2014
Thank heavens you corrected the dosage, it will make a big difference in stopping it if you take 300 as opposed to 600. I took 400 a day for more then 10 yrs because it was the only pain med my dr would order. Recently I went to a pain dr and he told me to stop it and put me on something else. He told me to cut one pill a day for 3 days then another pill a day for 3 more days etc. The next day I took 150 mg, the day after that 100 and the third day 50. After that I took 50 for about a week, then stopped it. I have had no withdrawal whatsoever. A good many of the people who have trouble getting off of it were taking more then they should be and not for the pain but for the feeling they got from it. You can do it, try not taking the 3 pills in the morning and just take 2 and take the 3 at night. See how that goes and when you are ready to decrease another pill.
6 Jan 2014
You sound like you are ready to taper off this medication and certainly have an arsenal of meds for any withdrawal symptoms. If you reduce by 50mgs daily, stay at that dosage for a week, then reduce by another 50mgs for another week, etc. you should have little withdrawal. Once you are down to 50mgs a day, go to 25mgs a day for a week and then stop. Tramadol has antidepressant properties so don't be alarmed if you get a little depressed. I would not take any of the above mentioned perscription meds unless ok'ed by your doctor. By tapering slowly you'll find that this is much easier than you are imagining. I'm here daily so you are more than welcome to converse with me as you do this. YOU CAN DO THIS!!