Hello, I was originally on eight tablets of tramadol a day (following knee replacement surgery) and I have now cut down to three. I'm trying to cut down to two but I am finding I cannot sleep at all and have depression. The other night, after taking two tramadol, I was too restless to sleep as my legs would not keep still. Can anyone suggest anything?
I'm recovering from knee replacement and cutting down on Tramadol but I can't sleep. Help?
Question posted by lemon tree on 10 Sep 2012
Last updated on 13 May 2025 (1 week ago) by IspeakSpanish
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4 Answers
I take 300mg of Trazodone along with TRAMADOL.
Hi, yes i agree, the tapering was done too quickly. How long have you been taking just 3? Were your withdrawal symptoms under control at 3 a day? It sounds a bit strange but it would make the transition easier if you do increase you dose again before tapering more slowly. If you were OK on 3 - stick to that and stay there for a couple of weeks, then reduce by one tablet a week. Bare in mind that when you final stop them completely it is normal to have some withdrawal symptoms, but they will be much easier to deal with than quitting cold turkey. Kaismama is right, Tramadol possess an SSRI property so depression isn't uncommon when reducing them. I can offer suggestions of natural remedies to help deal with withdrawal symptoms if you like?
Hi Delila
I have been taking 3 for many weeks, and now cutting down this week to 2. I am finding it hard. No one understands, apart from the people on line.I am looking for work now, and the depression and lack of sleep, is hard to deal with. I have had this for weeks, plus other symptoms. I never knew that you could not stop them like that, so i am now not to good. I will get past this. Yes any help would be great.
Great answer Delila and well said.
Hi, sorry it took me a while to get back to you! OK, so L-Tyrosine are a great supplement that will help you function better whilst/after withdrawing from the Tramadol. They are great brain food. They will take a few weeks to work effectively, but they were a great help to me. To help you sleep, Nightnurse, or a sleep aid containing dextromethorphan will help, also Melatonin. You must only take these short term as they can be habit forming. Valerian extract is also good for aiding sleep, and can be taken long term, but again, they will take a few weeks to work. Taking a walk or some light exercise everyday, even if you don't feel like it will increase your serotonin levels and increase your exposure to vitamin D from the sun, even if it isn't very sunny, the suns rays can penetrate the clouds.
Talking is important! Don't isolate yourself, do you have a good friend or family member that you can confide in to help you through this? I know you say no one else understands, but if it is possible? Otherwise stay in touch with us here and we can try to help you through this : )
Hi Dellia
Thank you for your reply.I am going to try night nurse, as you said it was one of the things i could try. I do have friends, but they do not understand. Unless you have been in this nightmare, then maybe.I have almost done my week of two, a day. So i am getting there, i plan to keep going.
Good for you! If you can bare the withdrawal symptoms then that's great. Well done for getting off them. I'm here if you are struggling and want some emotional support : )
Hi Delila
I have now cut down to 1 Tramodole a day. I am having withdrawal, and coping with depression. I plan to stop Tramodole this weekend, and never take them again in my life. I dont want to feel like this. I am worried when i stop, on how i will be. People in my life dont understand any of this. So you are a support, and very gratefull.
Hi, i understand how it is when no-one understands. I went through withdrawing from Tramadol with only one friend knowing the truth and supporting me. Without his help i couldn't have done it. You need someone to talk in times like this, so i'm always here for you. You shouldn't feel much different to how you do now when you finally eliminate that final dose. Try to stay positive and be proud of yourself for what you have accomplished! Many people try and fail to stop medications for years sometimes. You may feel a bit more lethargic and i say to stay positive because the depression could increase, but that isn't to say it definitely will. Keep your chin up and hold on to the fact that you will soon be done with Tramadol and you can move on : )
Hi Delila
It has been my first night and day with out trams. I was in and now full withdrawal. I could not stop moving my whole body for half the night, the other part i got up. I feel like i have flu,and all the things that go with it. I will drink lots of water, and do what you said on helping. It is the worse thing i have ever felt.
I find i have no support, so glad i can talk to you.
Hi, it wouldn't hurt to take a cold remedy. You could try Daynurse and Nightnurse, which will give you a boost through the day and help you sleep at night. It goes without saying that you should only use that short term as i'm sure you are aware. Well done for getting to this point, you have done so well! Have you got rid of any pills you have left?
I sent another note to you, but I amsure you got it about how my doctor said to stay on them. I still have them and will get rid of them.
Sorry i must have missed that. I know when i came off Tramadol i needed to get all temptation out of the way. It's best to be safe than sorry
Hi Delila I am on day 3 of being off this drug. I did not do as my doctor said and go back on them. Very bad night, with 2 hour sleep. But i got something. Still feel i have flu, and cant keep my body still at night. I want to come though this nightmere. Never thought this would make you feel and look so bad. So glad i can email you, and your great help.
Hi, my experience of quitting Tramadol was also pretty bad, but i was feeling much better after 2 weeks of abstaining from them. Maybe knowing this will show you there is a light at the end of the tunnel? It is scary that doctors are so ignorant of how badly people can be affected by this medication. So many people have suffered. I know it is hard right now but you are going through the worst now, it will only get better. You've done so well!
Hi Delila
It has been a week of coming off Tramadole, and i feel i have been awake most nights. At most 2 hours sleep at night. The flu feeling are gone, but the depression is bad. I am seeing my Doctor in the week, and will see if i can have something to help with the odd night of sleep. The lows are bad, and the lack of support is hard. thank you for being there.
Hi, sorry you are feeling depressed right now. Are you getting out of the house daily? I think i already mentioned, taking a walk each day is good for many reasons, serotonin increase, vitamin D from the sun, fresh air. and a change of scenery so you can escape from your head for a while. You are doing really well staying away from Tramadol and you should be very proud of yourself. Just keep in mind that it can only get better now, and soon you will be living happily without them. Do you suffer depression generally?
Hi Delila
No i dont get depression, and i always have picked myself up. But not doing that so well. I have pushed myself to do things and go out. In a few days i start a new job, and i need to be okay. Tomorrow i will get rid of all the pills,i never want to go though this again. I take one day at a time, and can not cope with to much stress at the moment. I dont feel i am ok, but i am getting there. thank you for your support, it is always a great help.
That's good news about the job. Where will you be working? Hopefully it won't be too stressful and it will keep your mind occupied. It is a good idea to get rid of all the Tramadol you have left, best not have the temptation there. Does your doctor know you have stopped taking Tramadol now?
Hi Delia
I am going to look after young people, yes it could be stressful. I have got rid of all the pills, and will see my doctor tomorrow. I may need something to help me sleep. Nothing is working, and i feel worn out. This is now week 2, and i feel i been though maybe the worse. I hope the depression will lift, i can hide alot of what i feel.Will let you know what the doctor says. I dont think she understands this drug. I will be glad when i stop sneezing, and feel myself again.
That's a great vocation! Good for you. I wish you didn't have to hide how you feel. I don't know if this is common, but my doctor prescribed an antidepressant not long after I quit Tramadol & it made a world of difference. Sometimes we need a little extra help... You have done so well!
Hi Delila . I went to the doctor, and yes i think she would of liked to offer something to help with the way i feel. She has given me some sleeping pills, to take on the odd night. She does not understand anything about what i went though on, and after Tramadole. I am not doing to well, a friend of mine, of over 30 years has said he does not want to see me any more He knew i was coming off this drug. That it has been hard, i am feeling very hurt and let down. I feel so much is wanted from me. yet i am in a sad place inside. Sorry for sounding so down, it is how i feel. Thanking you for your support.
Hi, i'm sorry it has taken me so long to get back to you! That is really rough having lost your friendship with this person. I went through a similar thing recently and i know how much it hurts. Some months later i made up with my friend so maybe this will happen for you too? I'm glad you have discussed things with your doctor. Maybe she will do some research in to Tramadol dependency now? Maybe you can tell the people that are so demanding of you that you a dealing with depression right now. It might be easier than going in to the whole truth about what is going on. Depression can hit anyone at any time so you don't need a reason to be feeling this way. How are you feeling today?
Hi, Delila i was given some sleeping pills and took one two nights ago and had some sleep.Last night no sleep. Today i am moving my things into a house, where i am RV. Looking after thee young people from Monday. I am trying to stay together, and get my life back again. Very hurt at the moment, with my friend.It is my Birthday tomorrow, so i hope i will feel more happy. I am looking for work, i hope i find something soon.If i cant get past this depression, i will go back to the doctor. Thank you for your support, it means a lot.
Do something indulgent tomorrow! Treat yourself! : ) you deserve it. It is so great that you are getting involved in this area. Be proud of yourself. I know how hard coming off this medication is only too well & you are doing great! I'm always here for you... X
Hi Delila I have moved into the new house, first night tonight. I am having a lot of problems sleeping, nothing for 3 nights. I felt giddy today, so will take 1 more pill tonight. i am worried, as i only have 4. She gave me Zopiclone.
I just need to sleep, then maybe i will feel better again. I am trying my best to make life okay.
Great news! Do you like the new house? Is it in a nice area? I know it is easy to say, but worrying about not sleeping will make it even worse. Do you use a sleep mask and ear plugs? You need to try to take basic measures to help, such as no caffeine after early avo, and sticking to a specific time to go to bed and to wake in the morning, etc. How are you feeling today? Did you enjoy your birthday?
Hi Delila I am a twin, so my Brother came down to see me. We lost our parents when we were in our teens. We had to move away from each other, but we are close. The House is lovely, the clients i can see will be a chalenge. I want to make a go of this .I am now looking for paid work, care work. I may have to go back to london, and travel each day. I will try what you said about sleep..i feel my head is more clear, which is just as well. I need to be on top of things. I Still have depression, but i have always kept on going. I will take a day at a time. I want to feel okay again, and maybe being happy will follow.
Hi, i'm so glad you like the new house! It will make a huge difference to how you feel i'm sure. It is great that you spent your birthday with your brother. It must mean a lot having such a close relationship with him. I am close with my brother and sister and i know what a gift that is. Let me know how you are getting on? Sometimes we need a bit of a challenge to help us move forward and i'm sure you will build a good relationship with your clients and feel very rewarded by helping them : )
Hi Delila
Last night i needed to sleep, so took a sleeping pill. Had problems, which i needed to deal with. Feel wornout, and depressed again. I want to give this my best, but i know i am not at my best. I will not give up. The house is lovely, but everything else will have to wait and see. I think i have a lot to offer, i only hope others see that. Tomorrow i am going to the seaside to see my son for the day. .Thank you for your friendship and support.
Sorry to hear you are going through more stuff. That's great that you're going to the seaside with your son though! Where do you live? I'm also in the UK.
HI Delila
I Live in surrey, and my son in Chistchurch. I am glad you live here. Everyone seems so far. Thank you for your support.
My great aunt lived in Surrey so i visited there every now and then. I'm in Bristol, not sure if you know where that is? Yes it seems that we British are few and far between here : )
Hi Delila i had a lovely time with my son, the sea air was lovely. I was born in Bridgwater, and i had family in Bristol. I got 4 hours sleep last night, the first for many weeks. I hope this will be the same tonight. I am in hope that things will all come together. Will let you know how i get on, thank you for your great support.
OK, Bridgwater isn't far from me. I'm so glad you enjoyed the seaside. I expect it was the sea air that helped your sleep! That's great that you managed to catch up a bit on your sleep. I've just quit smoking and am using the 24 hour patches, and they are messing with my sleep. Not that i've ever slept well. I know how frustrating insomnia is!
Hi Delila It is good you live in the west counry, i always had a great love of it. i spent a few years living in devon, and then moved to surrey. I have been in the new house for a few days, and hope it will all work out. I am looking for work each day, but i need to find something that is not to much on this knee. Sleep is still a problem, and keeping depression at bay. But i take a day at a time, and try to keep going. I am still sneezing off and on each day, which is odd for me as i never was that way. wishing you well, and thank you for your support.
The sneezing is a weird symptom isn't it! It wasn't linked to Tramadol for quite some time as it is such an unusual side effect. Yes i love Devon, i go there on holiday every year. Have you heard of Westward Ho! ? I love it there. So peaceful. Good luck on finding work. Don't throw yourself in at the deep end though, go easy on yourself. I hope you do get on well in your new home. I'm so happy for you that you were able to move!
Hi Delila I am still looking for work, it is not easy. Still at the new house, keeping a eye on the young people. I am sill having a lot of headaches, and not alot of sleep. But i am a lot better than i was, and will get there in the end. I have found it hard to talk to people about what i went though on coming off Tramadole. But i know what it was like, i told my doctor to put it on my notes i did not want to be put on it again. She does not understand any of it, and how it can make you feel. I hope you are well, all the best carol
Hi its good to hear from you. Sorry to hear you are still suffering with the headaches and sleeplessness. But it's good that you are feeling better in general though. It is scary how ignorant doctors are about the dangers of Tramadol. It's great that is behind you now. It takes a long time to get over doesn't it. I hope you have some luck with your job search soon, keep in touch and let me know how you are getting on : )
What are some remedies to help deal with th wb?
First off, 8 a day is normal. Its hard to do the pt you need if you hurt. You probably did the initial cut too fast. I'd go back to 4 a day, then after you've stabilized start taking down 1 pill a week. Tramadol has a mood elevating aspect to it, so if you go off it too fast, you may feel depressed.
Hi kaismama
I am this week cutting down to 2 a day. I did not know that you should not cut down fast, as i did. I had no one to talk to till now. Thank you for your help.
Are you cutting back per Dr's instructions? Seems a bit drastic of a cut which would certainly cause this outcome. If this was the Dr's cut-back schedule, you may want to contact the Dr. and report this difficulty, they may increase slightly to see if this symptom stops. Hope this helps.
Hi Balbanese - sorry I wasn't very clear. My consultant told me to go on eight a day and my physio said I was on too many so I cut down to three myself without realising the dangers. I went to see the doctor and he said I must cut back each week from three to zero. I tried cutting back to two (as the doctor said one less each week) but I now have these symptoms.
Related topics
sleep disorders, tramadol, sleep, knee joint replacement, surgery, knee
Further information
- Tramadol uses and safety info
- Tramadol prescribing info & package insert (for Health Professionals)
- Side effects of Tramadol (detailed)
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