Not a clue, hope if meds required will get correct details as will be reluctant to take and this will cause doctor patient friction. Gp said I could have patch but I refused, didnt ask what it would be. Doing charity help on till twice a week, can sit down at times, missed it when unable to get out. Appointment Nov. Hospital sent heart test result today (8th April 24hr test ) about atrial ectopic and episodes paroxysmal AF. sinus rhythem with paroxysmal AF. So far not used any other meds for foot problem, pleased now I didnt take higher dose. Five month wait so mustnt be serious. Advised ok to take paracetamo; also but that doesnt appear to help.
http://www.vicodinwithdrawal.org/alternative-medicine/thomas-recipe-opiate-detox. Even better - What you can do is research all this on the internet but I will include this one link because I felt it was the one who helped me the most when I went through it. Actually I'm going to link the process I used for withdrawal, it's from the same site and you can explore that further if you want or just Google 'opiate withdrawal forum' for support and plans. There are many forums that will do the same thing, find one which has active supportive members (and a plan you feel comfortable with) and I promise you will feel better about being able to get feedback from people who have felt what you are going through. Not just the info but the people who commented and gave support.
They should monitor regularly patients for any sign of dependency or addiction and intervene early. This seems rather irresponsible and I know someone like that who exceeds the dose due to tolerance/liking the effects of being opiated on Codeine. The GP would soon realise this, by checking early repeat prescription requests, or just seeing the patient more often and asking them to bring their meds with them. If you're staying with the opiate painkillers long-term, Tramadol is a safer choice with far less addiction potential than pro-drugs like Codeine or high potency opiate drugs like Oxycotin. I know many GP's don't, and are happy to just issue repeat prescriptions of addictive opiates like Codeine in large quantity to some patients and leave them unsupervised for months. A common strategy GP's use for long-term pain management as I mentioned is to rotate the drugs periodically every few weeks, to lessen the risk of dependency or addiction to one drug.
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Many GP's also from what I've been hearing are not fully clued up on Tramadol, its side effects, and the risk of dependency from daily use over a prolonged period. That's not to say everyone who uses Tramadol over a longer period gets dependent or develops tolerance. No proper studies having been carried out to my knowledge, on patients using it long-term. That hasn't been my experience anyway, but I always kept the dose low (50mg once daily). It is a potent drug as you said, even at 50mg taken 1-3 times a day. This is mainly because manufacturers marketed it as a low risk addiction painkiller based on limited clinical trials with animals. Any higher dosing, and the risk of dependency and withdrawal problems definiy increases substantially.
Hi Steve, although dizziness is a known side effect in some people, what you describe sounds quite unusual effect. I'm assuming you took 100mg but curious to know dosage you took, and how often, if you don't mind me asking?.
The thing I don't understand is how people can not sleep after Tramadol, I find it very difficult to stay awake.
I informed the GP about my use of Tramadol (on private prescription outside the NHS) over a long period of 6 years for pain relief and how it might have masked or helped, symptoms of depression which the GP thinks I've presented (lethargy, lack of motivation/interest in doing things, low mood etc). I was back to my old self, energised and able to do things and feeling a lot better. I told GP I had just recently took a very low dose of Tramadol again out of desperation (10mg) and it fixed all the symptoms like magic.
My blood pressure has been in the region of 117 over 76 not going above 121 or 82 and the old ticker has been about 70ish when resting and went up to 95ish after a good walk so not a lot to worry about there.
As for not knowing the possibilities of what might happen - there's only two people you can blame, one - your doctor for not giving you some important facts and two - yourself for not researching your prescription online.
Thanks for replies Mollymops and steve.
Best of wishes to everyone struggling with their conditions, keep looking towards the future! Ronni <3.
Usually I only take a half of pill at a time as I'm real sensitive to most medications. I occasionally take Tramadol with Advil for Osteoarthritis pain in my knees and it takes the "edge" off - but after a week or so, I become real itchy. Very strange as I've taken it on/off for years. Lay I've been taking a quarter of a pill - and after a few weeks I would wake up itchy & started getting hives all under my chin/neck - once I stopped taking it, a few days later I was fine. Its never the same - frustrating because it works good - but these side effects are troublesome.Now Im afraid to take after hive incident.so just trying to live with the pain on advil & PT. Also, I notice when i take this drug i feel better mentally, and it gives me a little boost, but then sometimes it can make me grouchy. Last year after taking for approx 6 weeks it would raise my blood pressure - i had to stop, then BP was normal again.
Once your body realizes it doesn't have to do this job anymore, it will stop, that's when your body has become 'dependent'. The withdrawal will end once your body takes back it's normal job of releasing the chemicals which make you feel good. When you stop taking the Tramadol and your body hasn't yet taken it's 'job' back, you feel withdrawal symptoms because there is nothing making you feel good. WHY YOU BECOME DEPENDENT: In plain speak, Tramadol does the job of making your body feel good and does it so well that it relieves the overabundant amount of pain your going through because of your medical condition.
So it's best not to take any drugs or substances that are likely to alter serotonin levels without checking with your GP if on Tramadol.
There is also a lot of potential for major drug interaction with Tramadol and other drugs (and even herbal supplements) with due to the serotonin affects Tramadol has.
More concerned about annoying cardiologist when he no doubt will prescribe treatment after 6 day check and my relutance to take advice. Do not fancy taking muscle relaxant/tranquilizer type meds.sounds a bit like valium. Awaiting MRI scan results for restricted movement of foot plus nerve toe problem. Thanks for all information it did help. At times side effects can be worse than condition. Now settled on Tramadol 100mg 12hrlyish. morphix. At least have not had any obvious side effects. and may be Paracetamol tabs 2 if needed during day.
They can help give you a plan to wean the drug and also be there for when you need muscle relaxers if you need them once you stop the drug. HOW TO OVERCOME THE WITHDRAWAL PERIOD: If you have become dependent Tramadol and you most likely have if you've been taking it for a long time, it's almost always best to consult with your doctor about a withdrawal plan. If they are not helpful, see another doctor, rinse and repeat (especially if you're on NHS!).
Personally I think doctors even on the NHS should take more time to spell out the common effects and if it can be addictive but I do understand that they don't usually have the time. This isn't going to change anytime soon though, so.
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Oh and I should also warn that you will come across a lot of people who don't know what they are talking about, but you should be able to spot them pretty quick,. Just ignore them, find good info and support, that's the best thing to do.
I have a lot of experience of Tramadol and pain treatments in general, and have also studied molecular drugs chemistry at university level so I'm happy to share if it helps people avoid problems. obsborne you're welcome.
That sounds a lot like me Morphix - I feel quite drowsy when I take Tramadol but I can't actually sleep at all which is fine if I don't have to get up for work at ridiculous o'clock in the morning! Unfortunay I usually do so I end up feeling half dead by the middle of the morning and wondering how I'm going to get through the day! However, when in pain it's a very a useful drug for me so I'm prepared to put up with the downsides. Hope you are getting on OK.
I did and I was helped, no NHS doctor ever judged me for being dependent and it does seem like they deal with this often. I added that most NHS doctors are ambivalent towards things like this and she said, then demand it. First, she said, you're only an addict if you're taking the drug to get a high, otherwise you're just dependent. They are not as organised as in the U.S. where you can get a 'kick pack' which contains valium, supplements and many useful tips but my NHS doctor did prescribe me valium for 4 days which was enough to get over the 'hump' and I researched and procured the other supplements and tips I needed online. If you have a long term condition like me, then I'll l you what my doctor in the US told me when I told her I didn't want to become addicted. Then she told me I can either take the drug to alleviate the pain and get some normal things done on a daily basis or don't take it and live with a pain that will most likely prevent me from leaving my bed and become agitated and irritated with everything and everyone because of my relentless pain. She said there is no shame in become dependent and that when the time came to stop there would be a safe period of weaning the drug and a plan for the withdrawal.
If you have any SERIOUS SIDE EFFECTS (see following) then go to A&E or see the doctor the next day depending on how bad it is, stop taking the Tramadol until you can get medical advice: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); burning, numbness, or tingling; chest pain; confusion; difficult or painful urination; disorientation; excessive sweating; fainting; fast or irregular heartbeat; fever; hallucinations; loss of coordination; mood or mental changes (eg, depression, agitation); red, blistered, swollen, or peeling skin; seizures; severe dizziness or light-headedness; severe nausea, vomiting, or diarrhea; severe or persistent headache; slow or shallow breathing; suicidal thoughts or behaviors; tremor; vision problems; wheezing.
megzie, going to see how I get on minus tramadol as nerve problems can be tolerated during day also bone ache. Am due for MRI scan in few days so hope for answer to injury. Not keen on requiring pain tabs for months on end.
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Does this effect happen all the time, and is your blood pressure and pulse ok normally, and are you able to check if it changes after dosing Tramadol?
However being ill-informed about a drug, how you take it and the possibilities. I hope this is more helpful than not. well that certainly can be. The drug has been well tested and it's not dangerous. I'm not sure why people come here to complain about a drug.
This I find very interesting though, how it makes you both drowsy. Maybe Tramadol affects older people differently or just people in general depending on their physiology and hormone responses.
I suggested to GP that Tramadol raises serotonin and is probably indicating I have depression. GP agreed and asked me if I wanted more Tramadol!!.
The metabolic rate should speed up, with elevated heart rate increase and blood pressure, and you may feel more physical stress on the body if you're sitting still and there's no outlet for that energy. I think this is what the manufacturers of Tramadol had in mind when they made this drug, that the noradrenaline and serotonin effects would help people feel better who are suffering with pain, as these have some role in pain response. So if you have more of this chemical in the brain (as you should on Tramadol) you should feel more awake, like you've had caffeine.
Tramadol provides a reliable source of relief to many pain sufferers and patients with other medical problems. They most likely can find an alternative that will suit you. The only way to find out how your body will react is to give the prescribed drug a try, preferably for a couple weeks if this will be a long-term drug and if it doesn't suit you talk to your doctor. The VARIABLE in all this. That's one of the reasons why there are so many drugs that do the same thing. is the individual patient, everyone's body makeup is different and so will react and produce different side effects with every drug they take.
Posted 19 March 2012 at 16:34.
and my head follows the rest of me about 3 seconds later. The pain got a bit much today so I took 2 Tramadol at 7oclock pm and went for a walk. Why on earth would anybody use these for recreational purposes?.Its awful. The effect is quite unnerving, dizzy. But the pain is now bearable.
Some websites, like drugs.com, even have an Interactions Checker which you can input all your medications into and check if they will react badly. It's very cool and I even was able to bring a bad mix up to my doctor who was able to clarify that the short amount of time I was taking the new drug would be ok with my regular prescription. There is a plethora of information online, on any prescription drug and it will l you everything you need to know before you take it.
Also when you feel the pain is minimal to moderate, try taking just paracetamol and skipping a dose of your opiate when possible. If your condition will be temporary then consider asking for Codeine (a natural opiate) which doesn't work as well but will help relieve some of the pain. Always take paracetamol at the same time you take any opiate, my NHS doctors have always told me this, saying that they both work better together than just the opiate alone and in my experience this is true. Once you do this more often than not you can either realize that you can live with minimal pain or only take the opiate sporadically as needed. I DON'T WANT TO BECOME ADDICTED: Well most people don't.
Been a good boy til now and have kept the Tramadol for bed time along with amitriptyline 10mg. For the past couple of days I've been building up to another attack of shingles or PHN or whatever causes the pain.
Re my last comment, that only happens if I take Tramadol beyond 12pm. And if I re-dose in the afternoon, I can forget sleeping. If I took it before bed time, I would not sleep for 24 hours. I have to take it really early (7-8am) if I don't want my sleep affected.
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Steve I'm astonished you can sleep on Tramadol! I can't get any sleep AT ALL for 24 hours straight, even if I take a single 50mg dose. The effect is like drinking about 3 or 4 strong teas or coffee. Wired! It's interesting how Tramadol seems to effect people so differently.
You might want to ask your GP about this. often a better choice than an opiate painkiller is a medication called Pregablin for nerve-related pain. That may be a problem if you drive or in certain professions, but you may find a lower dose works ok and doesn't affect you cognitively. It can however, affect cognitive ability and it produces a slightly intoxicated feeling in some people at higher doses. Some people claim it works well for nerve injury and chronic nerve pain conditions. It's not a painkiller and is non-addictive or habit forming, although if taken long-term it can cause some brain chemistry changes (it acts on GABA-B receptors and works as a muscle relaxant/tranquilizer) and so needs to be tapered down gradually again, like a painkiller. You mentioned nerve pain.
Tramadol does not have any malicious intent to get you 'hooked' or 'addicted'
Constipation seems to be the most common and would advise a gentle laxative. COMMON SIDE EFFECTS: Constipation; diarrhea; dizziness; drowsiness; dry mouth; headache; increased sweating; indigestion; mild itching; nausea; trouble sleeping; vomiting; weakness.
Although fairly rare, some cross-interactions (particularly with SSRI anti-depressants (or supplements like St John's Wort/5-HTP) cause potentially life threatening condition causing "serotonin crisis" if taken inconjunction with Tramadol, particularly at higher doses. Taking other drugs like this that affect serotonin can also lower the seizure threshold ceiling of Tramadol (down from 600mg to 400mg-200mg in some people).
Tramadol should definiy never be stopped abruptly though at any dose, if it's been taken daily for an extended period of months. Many Dr's are again not aware of this or the problems it can cause some patients due to its serotonin effects. If you want to come off it, you definiy need to taper down the dose gradually to allow your brains serotonin chemistry to adjust, else it can go into shock. Some people report "brain zaps" others report feeling extreme lethargy/depression-like symptoms if Tramadol is withdrawn too soon.
I said no thanks, I've battled to get off it for so long, and it causes so many problems for now (increased anxiety, insomnia, weight loss, hair loss, acne), that I better not start it again.
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A 64years old space cadet. I took 2 again last night at 11-30 and slept the sleep of the tired and just, but, I'm a bit spaced out this morning. Dunno, for the past year or so I've restricted their use to bed time so if there has been any side effects I've slept through them.
Tramadol affects noradrenaline as well as serotonin, the first is a chemical in the brain which regulates hormonal responses concerning concentration, heart rate and the classic "fight or flight" response to stress.
today and let you know the findings. I will monitor pulse, bp etc.
Also you will need a "wash out" period after you stop taking Tramadol for it to be fully out of your system, before you begin any anti-depressants or other drugs that affect serotonin. Usually 3-4 days is sufficient, but GP's may recommend longer periods of weeks to be safe, for certain medications.
I went to see my GP recently about my PVNS condition as I have begun getting pain in my knee again and feeling depressed.
They seem to like that effect and energetic boost. For me it's a negative effect though and why I had to stop taking it, despite it being a great painkiller and anti-depressant. That's why some use Tramadol recreationally I think, particularly those into sports. Cognitive function is speeded up and they feel more energetic. I suffer with anxiety and I think I may already have high levels of noradrenaline or be more sensitive to the "fight or flight" response which even a strong cup coffee or tea will trigger! I've heard though, quite a few people say they feel "amped up" or wired, after taking Tramadol.
If you start mixing things up and not understanding the chemistry behind it then what do you expect?. Tramadol is a synthetic (man made) opiate. It does not mix well with natural opiates such as cocodamol as one person was complaining about in this forum. Always check with your doctor if you feel uncomfortable and always take prescriptions as advised.Can tramadol tablets raise blood pressure