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Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Hi - I am copying my last question below as

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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3576 Questions

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Posted on Tue, 27 Mar 2018 in Lung and Chest disorders
Question: Hi - I am copying my last question below as it has all the information about me in it. This new question is about stopping Tramadol. I want to stop it because I am getting tolerance to it. I have been taking it every day for about two years. In the last four months, I've gone up to 2 x 50 mg per day. I'm wondering what you recommend as a tapering schedule and whether I should take anything else to minimise withdrawal symptoms? Thanks

Weight 92 kg Height 175 cm Age: 54
Diagnosed conditions: Fibromyalgia, C2/3 facet joint damage (MVA), C6/7 nerve root impingement (MVA), RSI right wrist (35 years), plantar fasciitis (comes and goes), sacro-iliac pain (comes and goes).
Recent blood test: bit low in Vitamin D.
Medications: Tramadol 100 mg/day, Codeine 30 mg day PRN, Citalopram 10 mg, Oxazepam 7.5 mg
Hi – I feel very breathless on little exertion and my heart rate increases a lot – for example just bending down to do up shoelaces. However, I can go for a 50 minute walk and not get too out of breath (except on hills). Having trouble sleeping for last two months as came off Stillnox after eight years on it. Sometimes used codeine, Temazepam and periactin to sleep. But last night took none of these and still feel very short of breath. Doctor has listened to chest – all ok. Might have a bit of reflux at night – not sure – but I think morning coughing could be due to that. Put on 10 kg in a six month period recently – it’s plateaued at 92 kg for about three months. Also feel pretty exhausted and tired and lacking motivation quite a bit of the time. Thanks
doctor
Answered by Dr. Suresh Heijebu 2 hours later
Brief Answer:
Relevant tapering schedule provided

Detailed Answer:
Hello Ma'am

I can certainly understand your concern

I have worked through your attached query in detail

It's a good idea to give up on Tramadol

The following is the tapering schedule to come off the Tramadol in 2 weeks

Day 1 50 mg bid

Day 2 75 mg bid ( 25 plus 50 )

Day 3 50 mg OD ( 25 plus 25 )

Day 4 to Day 10 50 mg every alternative day

Day 11 25 mg OD

Day 12 25 mg every alternative day

Day 15 stop the drug.

Post your further queries if any
Thank you
Above answer was peer-reviewed by : Dr. Nagamani Ng
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