How can Tramadol be tapered down to avoid withdrawal symptoms?
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
Relevant tapering schedule provided
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 of 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.
Hope I have answered your query.
Dr. Suresh Heijebu
General & Family Physician
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