Badrabbit

1 minute ago, Sheryl said:

3 tabs a day, spaced at least 4 hrs apart, is OK unless you have impaired liver disease.

 

I'd take the 3 doses until you are feeling OK then try decreasing to 2 doses spaced 8-12 hours apart.  If that isn't tolerable then you'll have to revert to tramadol capsules and divide contents in half to get 25mg. You can get empty gelatin capsules on Shoppee or Lazada. 

 

You are making this unnecessarily for yourself  difficult by not consulting specialist. 

I know I am making it difficult, I want to do this on my own, I got myself into this, I want to get myself out of it.

Thanks.

17 minutes ago, Badrabbit said:

Okay, thanks Sheryl.

Is the Paracetemol a problem in Ultracet, how long should I take the Ultracet for.

7 minutes ago, Sheryl said:

There are medications which can help with withdrawal as previously mentioned. These are largely not pain killers but will help control withdrawal symptoms.  However this is not something to do ond your own, it is complex. You need to see a physician specializing in addiction pyschology. There is an excellent one in Bangkok. 

 

If you have already switched from 3 × 50 mg tramadol to 3 ultracet a day you have already reduced your intake by about 25%. Do not try to rush this process or to stop abruptly   that's a prescription for failure.

Okay, thanks Sheryl.

I am I want to stop taking Tramadol 100% the trouble is, withdrawel pain is so bad I can't see how I am going to do it.

I have now switched from Tramadol Capsules 50mg to Ultracet which is 37.5mg's plus paracetemol.

If I can take something that will make the withdrawal pain bearable I wouldent have a problem.

Can I get something from a Pharmacy to take once I tottaly stop the Ultracet which will make the withdrawal pain manageable.

I never wanted to take a painkiller, I have always been scared of pain to the point I would do anything to stop it hence my problem.

I am trying my best to reduce, I cannot see how I am ever going g to beat this, I have tried but the withdrawal pain is so bad I take tramadol again.

Can I get medication to stop withdrawal, surely in this day and age there is something, I have read about Buprenorphine is this available in Thailand.

If I can't find a way to cope with withdrawal I will just keep taking Tramadol

This will be my last comment, thanks for all comments, it's good to be able to open up even if it is to an Internet forum audience.

40 minutes ago, Badrabbit said:

Thanks, I'll cope my way, from taking 4 50 mg (24 hours, 1 every 6 hours) tramadol over the last 4 years I have now stopped the 50mg Tramadol capsules, instead I am using Ultracet 3 times in a 24hour period, I have reduced my Tramadol intake from 200mg to 112.5mg, I think I am doing okay, I will continue reducing over time.

I did reduce the Tramadol from 4 to 3 capsules a while back.

1 hour ago, wombat said:

you do know you can get 150's ?
cuts down your intake by 2 caps 🙃

Think I'm fine, I'm on 3 50mg over a 24hr period, I'm going to change 1 tablet to the Ultracet which will lessen my intake, as I've said before I'm taking it slowly slowly.

27 minutes ago, Kinok Farang said:

What a nob!

If you post in the forums expect 1 maybe more to be a nob.

12 minutes ago, driver52 said:

badrabbit mate, are you overweight much? I don't want to send you 'down a rabbit hole' but I believe we cure most things with diet...including cancer (which half the time might just be parasites)

sadly there is too much money to be made via treatments in the so called health industry for it to be anything but healthy 

Not overweight at all, thanks for asking.

15 minutes ago, scubascuba3 said:

One thing i don't understand, you took tramadol because you were in pain, if you stop taking it what are you going to do about the original pain, maybe still there?

I can't imagine the real pain is still there after 4 yrs, I don't know and won't know untill I stop the Tramadol, interesting situation though.

I'm going very slowly, I'm down to taking 3 tablets over 24 hrs from 4 tablets over 24hrs, I'm not in a hurry.

18 minutes ago, connda said:

True - but you have a Tramadol dependence, and given the discussions here you seem to be reluctant to take the steps necessary to taper and then quit - permanently.  Personally based on your discussion on this forum, I'd really suggest looking for professional help in withdrawing from Tramadol. 
If that is too much money for you, then look into a NA meetings in your area.  You strike me as someone who needs assistance with their withdrawals.  Go get it.

I either quit suddenly and go through withdrawel,no thanks to that, or take it slowly reducing which I'm doing.

I do need to get advice on how I can reduce the symptoms of withdrawel, I'm doing  okay at the moment.

Thanks for your comments.

12 minutes ago, connda said:

True - but you have a Tramadol dependence, and given the discussions here you seem to be reluctant to take the steps necessary to taper and then quit - permanently.  Personally based on your discussion on this forum, I'd really suggest looking for professional help in withdrawing from Tramadol. 
If that is too much money for you, then look into a NA meetings in your area.  You strike me as someone who needs assistance with their withdrawals.  Go get it.

As I have stated I am doing it slowly, I will go to the Hospital at some point and get advice, I'm not I any hurry.

5 minutes ago, shackleton said:

See a doctor and get the correct professional advice on your medical problem 

I intend on going to Hospital at some point to get advice, at the moment I'm okay with my situation.

Thanks for the comment.

2 minutes ago, connda said:

There is a huge difference between breaking, crushing, chewing or dissolving any opioid (which addicts do to get a rush) and splitting a solid pill that is homogenized with equal amounts of acetaminophen and tramadol, and splitting it into two "half doses" of the original pill. I think you are missing the context of the warning.  Yeah, if someone chewed a few Ultracet tablets it could be dangerous.  Why?  Acetaminophen overdose.  Context.  Take too much Ultracet and introduce it into your system too quickly and, yeah, liver damage ala acetaminophen.

1/2 of an Ultracet exposes a person to 18.75 mg of Tramadol and 162.5 mg of acetaminophen.
That's low dosages of both drugs.

Btw, 50mg Tramadol capsules are in gelatin capsules with dissolve in the stomach and release the entire dosage of 50mg into a person's system.  Maximum dosage is 400 mg / day.  But if someone decides to get a buzz and just takes 400 mg of Tram?  That's dangerous.  And taking a bunch of Ultracet to get a Tramadol buzz?  Really dangerous and you don't even have to chew them.  Acetaminophen.  Liver damage.  Potentially deadly.

I  don't and have never had a buzz from Taking tramadol.

14 minutes ago, wombat said:

Er...you can die coming off methadone.

He has an opioid addiction...no one dies from going cold turkey...suck it up cupcake and put up with the sh!t you're going to go through.

If that sounds harsh ...stiff sh!t, I watched friends after the Vietnam fiasco with habbits longer than your arm go through withdrawals and come out the other side.

There us no such thing as an ex junky...you're just a junky that hasn't scored yet.

No thanks.

Your friends are well hard and I have nothing but admiration for them, I'll do this my way which is slowly.

Just now, thecyclist said:

Don't suddenly stop. You have to gradually taper off the dose. Very gradual. From 50 mg every 6 hours ,to either 50 every 7 hours for a week ,or down to 45 mg for a few weeks until maybe after 6 months your body can manage without the drug.

This is what I am trying to do, thanks for commenting.

16 minutes ago, Sheryl said:

No reason at all to think about costly  inpatient programs. 

 

Sounds like you have now decided to remain addicted. If in the future you ever decide to come out of the addiction I can refer to doctor specializing in this who can help with medications to control/lessen withdrawal symptoms. But you need to make that decision, and to summon up the determination to follow  through. 

No I have not decided to remain addicted, I've been okay for years taking the Tramadol, I honestly can not cope with the withdrawel pain, at some point I might have to tackle it but for the moment I will continue as I am.

I'm obviously no where near as strong as other people when it comes to pain and the awful body relaxing syndrome, 

When the time comes for me to tackle getting rid of this addiction I will contact you for the details of the doctor you have mentioned.

3 minutes ago, scubascuba3 said:

Has his original pain gone? he never seemed to find a cause

No cause was ever found other than the doctor saying "you have nerve pain"

Don't know if the original pain has gone as I have never stopped taking Tramadol, got myself into a big mess 

12 hours ago, Sheryl said:

How much are you assuming a simple doctor consultation is going to cost?

I was referring to in patient re-hab, I know a doctor would be about 2500bht for a consultation.

1 hour ago, wijipa said:

I have been on Tramadol for 28years the last 14 on 400mg a day of slow release. Like you, if I forget to take a tablet at night I wake in terrible pain and it takes about 4 hours to get it under control again. You should not stop taking it suddenly but slowly wean yourself off.

Thanks, I can not beat this, I was okay untill I tried to stop I've been feeling bad ever since, I have to continue taking the Tramadol whatever the consequences might be.

I'm feeling so down constantly thinking how stupid I have been, it's a continuous nightmare.

1 hour ago, Sheryl said:

How much are you assuming a simple doctor consultation is going to cost?

48 minutes ago, connda said:

Opiate withdrawal are difficult.  Don't mix up pain with withdrawal symptoms.  It's easy to do.  At this point your probably just going though withdrawal and it sucks.  I'm serious about Kratom working to alleviate a lot of the withdrawal symptoms like restlessness, restless leg syndrome, sniffles, sneezing and diarrhea. But a taper will also work.  Don't be in a hurry - rule number one.  Take your time.  You are down to 3 50mg pills a day?  Stay there until you're comfortable for a few day, then cut another 50gm.  Yeah - you'll experience some withdrawal symptoms but they won't be a major problem.  Taper is your friend.  Take your time.  You took years getting to this point, give yourself time to taper off.  It's not a race.

That was the worst thing by far, "restless leg syndrome" I just can not cope with it.

Thank you for the advice I will take it slowly.

1 hour ago, KannikaP said:

Will the three days make all the difference?   

I tried to stop a few days ago, the pain was unbearable, what was worse was my mental state, irritable, my body would not relax which again was unbearable, I could not sleep just pace around the house, I was very scared and could not imagine having to cope with it anymore, I took 2 tablets, the pain and my mental state soon returned to normal, it's not fair on my gf having to see me like that, I'm sure she is scared and scared for me.

If I can't do this on my own without the pain and mental side of it I will just carry on taking the Tramadol, I've been taking them for approx 4 years with no side effects other than Constipation which I deal with.

I have not got the will power to cope with the withdrawel.

I am going to reduce the tablets and hope I can get through this virtually pain free.

If I'm honest I can't see how I am going to get Tramadol free but I will try my best.

I wish I could afford professional help which I wouldn't be able to afford, I am certain my insurance company would not pay.

What a mess I've got myself into, never thought it would happen to me.

58 minutes ago, Sheryl said:

The fact that it has paracetemol is nto likley to make much difference but the 37.5mg dosage is a big help. One of the problems with trying to taper off tramadol is that it comes only in 50, 75 or 100 mg capsules.

 

If you are currently taking 50 mg 3 times a day, try switching the middle dose to ultracet. (So 50, 37.5, 50 a day).  Give it a week at least, then if feeling not too bad, change another dose to ultracet etc etc. 

 

Once down to ultracet 3 times a day try for twice a day. If that is too difficult then 3 one day, 2 the next, then 3 etc etc.

 

In other words - go gradually. Do not give up, and do not back track, even if feeling uncomfortable -- but go slow.

Thanks I will do that.

4 minutes ago, dddave said:

"ULTRACET" tablets are 37.5mg tramadol with added acetaminophen.  They might be be easier to taper-off with.  Available OTC at most pharmacys.

Yes I was thinking about Ultracet.

33 minutes ago, Gottfrid said:

Do not listen to this, as it will totally mess up you stomach. Just contact a doctor specialized in drug addiction and painkillers. You should not do like advised above and self-medicate.

As said I'm going to reduce and hope in time I can be free of the addiction.

I feel fine taking the tablets obviously its not ideal but as long as I don't have to go through the terrible pain of withdrawal I will continue to take the tramadol.