Comments on: Will Tramadol decrease opiate withdrawal symptoms? http://www.aubenades.org/withdrawal-narcotics/will-tramadol-decrease-opiate-withdrawal-symptoms Wed, 03 Feb 2010 01:18:59 -0600 http://wordpress.org/?v=2.8.2 hourly 1 By: Zaphod Beeblebrox http://www.aubenades.org/withdrawal-narcotics/will-tramadol-decrease-opiate-withdrawal-symptoms/comment-page-1#comment-3621 Zaphod Beeblebrox Thu, 24 Sep 2009 08:03:59 +0000 http://www.aubenades.org/withdrawal-narcotics/will-tramadol-decrease-opiate-withdrawal-symptoms#comment-3621 Edometriosis can be hell on earth... Mathieo is clearly highly knowledgable about drugs and their side effects, but from a doctor's point of view that pain is all in the mind of the patient and painkillers are an acceptable distraction. Have you considered Hormone therapy...? If you can get a referral from your doctor to an Endocrinologist (hormone specialist) , you can ask about drugs like Lupron, which are NOT pain killers, they just effect your estrogen output and other things that are causing that "piano wire strangling" feeling in your vitals,...not deadening the pain, but rather preventing the source of the pain. It's the difference between living in a fireproof house verses living in a gasoline soaked crepe paper house that happens to have a half filled fire extinguisher here and there. You're very strong to have gotten this far. Your pain tolerance is clearly high and you are a very driven individual. Fortunately there are likely options for you besides biting the bullet... ....To answer your question about Tramadol.... I'll save you some time, best case scenario it'd just be another short square-dance, a situation that I'm sure you're exausted from. Lastly....Being an Athlete can serve you in kicking the opiates. I'm serious= Have you tried distance running/5k ? There is a whole movement of people, who have kicked habits as large as cocaine and heroin, substituting it for the endorphin blast of the Runner's High. http://www.biopsychiatry.com/exercise-opioids.htm<br><b>References : </b><br>Sometimes it takes an RN's point of view....good luck! Edometriosis can be hell on earth…

Mathieo is clearly highly knowledgable about drugs and their side effects, but from a doctor’s point of view that pain is all in the mind of the patient and painkillers are an acceptable distraction.

Have you considered Hormone therapy…? If you can get a referral from your doctor to an Endocrinologist (hormone specialist) , you can ask about drugs like Lupron, which are NOT pain killers, they just effect your estrogen output and other things that are causing that "piano wire strangling" feeling in your vitals,…not deadening the pain, but rather preventing the source of the pain.

It’s the difference between living in a fireproof house verses living in a gasoline soaked crepe paper house that happens to have a half filled fire extinguisher here and there.

You’re very strong to have gotten this far. Your pain tolerance is clearly high and you are a very driven individual. Fortunately there are likely options for you besides biting the bullet…

….To answer your question about Tramadol…. I’ll save you some time, best case scenario it’d just be another short square-dance, a situation that I’m sure you’re exausted from.

Lastly….Being an Athlete can serve you in kicking the opiates. I’m serious= Have you tried distance running/5k ? There is a whole movement of people, who have kicked habits as large as cocaine and heroin, substituting it for the endorphin blast of the Runner’s High.

http://www.biopsychiatry.com/exercise-opioids.htm
References :
Sometimes it takes an RN’s point of view….good luck!

]]> By: Mathieu http://www.aubenades.org/withdrawal-narcotics/will-tramadol-decrease-opiate-withdrawal-symptoms/comment-page-1#comment-3620 Mathieu Thu, 24 Sep 2009 07:47:59 +0000 http://www.aubenades.org/withdrawal-narcotics/will-tramadol-decrease-opiate-withdrawal-symptoms#comment-3620 That is a very difficult situation. Just so you know (if you do not) Suboxone is typically the ideal choice. HOWEVER, it needs to be prescribed by a psychiatrist who can monitor you. For the vast majority of people Suboxone does work and can be stopped but it takes time and expertise. Drugs like Methadone and Suboxone are used to withdrawal patients and, in some cases, to maintain. Many people take methadone and live a fully functional life without withdrawal. They continue the dependence but stop the behavior and problems that come with addiction. My point is that cold turkey is never good and you have to see a doctor. A big issue is that you do actually have pain and at times might need pain control. A doctor can help control pain even in people with opioid dependency. As for Tramadol. Yes, it can help with withdrawal. But often people do it on their own and do it badly. People commonly take large amount of Tramadol because normal doses do not relieve withdrawal or provide any high. Tramadol is at best 1/20th as powerful as oxycodone. And a high dose of Tramadol cause seizure AND the symptoms of opioid OD and it can not be fully reversed in a hospital like it can be with drugs like oxycodone or morphine. Even with the best intentions people can easily start using 200-700 mg of Tramadol at one time. In the end you need help from a doctor. You asked why you can't stop- it is because your brain needs (and probably wants) opioids. Your brain chemistry, even genetics becomes altered after years of drug use. That is not to say your brain is "broken" it is not- but now it needs something. That is why detox exists, to give the body some time to adapt.<br><b>References : </b><br>I am a medical student at a university in Montréal, QC, Canada in psychiatry and internal medicine. I have a specialist degree (Hons. BSc) in pharmacology and I have interned under two psychiatrists, one neurologist, and at a chemical dependency rehabilitation centre. I have also worked as a pharmacy assistant. That is a very difficult situation. Just so you know (if you do not) Suboxone is typically the ideal choice. HOWEVER, it needs to be prescribed by a psychiatrist who can monitor you. For the vast majority of people Suboxone does work and can be stopped but it takes time and expertise. Drugs like Methadone and Suboxone are used to withdrawal patients and, in some cases, to maintain. Many people take methadone and live a fully functional life without withdrawal. They continue the dependence but stop the behavior and problems that come with addiction. My point is that cold turkey is never good and you have to see a doctor. A big issue is that you do actually have pain and at times might need pain control. A doctor can help control pain even in people with opioid dependency.

As for Tramadol. Yes, it can help with withdrawal. But often people do it on their own and do it badly. People commonly take large amount of Tramadol because normal doses do not relieve withdrawal or provide any high. Tramadol is at best 1/20th as powerful as oxycodone. And a high dose of Tramadol cause seizure AND the symptoms of opioid OD and it can not be fully reversed in a hospital like it can be with drugs like oxycodone or morphine. Even with the best intentions people can easily start using 200-700 mg of Tramadol at one time.

In the end you need help from a doctor.

You asked why you can’t stop- it is because your brain needs (and probably wants) opioids. Your brain chemistry, even genetics becomes altered after years of drug use. That is not to say your brain is "broken" it is not- but now it needs something. That is why detox exists, to give the body some time to adapt.
References :
I am a medical student at a university in Montréal, QC, Canada in psychiatry and internal medicine. I have a specialist degree (Hons. BSc) in pharmacology and I have interned under two psychiatrists, one neurologist, and at a chemical dependency rehabilitation centre. I have also worked as a pharmacy assistant.

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