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דייבי קרוקט

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ספטמבר 4, 2022
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547
Not saying it does not have it's place, but with a fractured wrist and hard cast 5 years ago, I got almost zero relief from the pain of this injury and just a few side effects. Maybe a low dose? My Orthopedic Doc, a super cool lady, after complaining about the pain told me bluntly that in the orthopedic field, where opioids are most effective, they are watched carefully and even apologized to me for not being able to do much. For heaven's sake, a 7-10 day script of effective meds and I would have healed, and believe it or not, would not have become an addict. I know it is a Syn Op, but there are just better options. Even a 5-6 day script of something that worked and then backing down to tram would have been a decent approach one would think? Seems as so many seek it, was just curious if it is very effective for some, or are there dependence issues with it? DC
 
Tramadol is on the safer end of the spectrum...though not nearly as strong as other opioids/opiates, I find it helpful to use if I sprain or strain something. I use it for a few weeks and done.

But I'm sure others have their opinions on Tram? It may be a life saver for them. Chime in guys....all of a sudden I got interested ???

Edit: spell check
 
Tramadol is actually great for depression and some doctors even prescribe off label for that use. Unfortunately mine won’t and my last Trams were possibly 2 years ago now. My depression still here but no Trams to control it coz of the fear of opioid addiction :(
 
Years ago when Tramadol was way, way, way easier to get, I started to take it instead of other opioids for pain relief... Yeah, it's not as strong as others but it's better than over-the-counter pain killers so it worked for me... As a bonus, it gave me a good opioid euphoria, got me out of the everyday rut and made me want to do things every time I popped a pill... So as this thread seems to be heading, I have to wonder how many people are seeking taking it for the opioid euphoria to combat depression or other things not pain-killing... Doctors seem to still push it because it's not a fully daemonized opioid yet...

BUT, and it's a BIG BUT! I'm not an addictive person, I have always been able to stop/start other opioids as needed for pain, but when I found myself using Tramadol more for its euphoric effect and less for its pain effect, I forced myself off it... Regardless of the claims to the contrary, it's the worst scripted opioid withdrawal I have experienced! The entire time I weaned myself off slowly (weeks) I felt like utter poop and my body was nagging me constantly to just pop another dose or just lay in bed and sleep... I can see it being a good drug for depression, but you do risk opioid addiction and tolerance that could make it a short-lived option for many...
 
I have zero use for tram. All it ever did for me is give me a headache. But from my observations here on this forum, I don't think it's the opioid effect so much as a combo of a mild opioid with an ssri component. And I've seen many folks on this board claim it's the ONLY med that effectively treated their depression.

@crueheads. If it was just the opiate euphoria, folks would get the same benefit from any opiate. But most of the folks I've observed here say it's tram alone that resolves their depression, which leads me to believe it's, again, the combo of a mild opiate with the serotonin uptake inhibitor that is causing it to work so well for some.

It's just another frustrating example of the demonization of opiates, so that now folks can't have this med that looks to be extremely useful for treatment-resistant depression. Yeah, making tram so hard to get probably has ended its use for folks, but how's their quality of life? So what if they get dependent on a med? Is their life happier and more fulfilling? If modern medicine had another drug that worked as well WITHOUT the opioid feature, I guess that's better, but they don't...

At @דייווי קרוקט. Sad as hell that you had such poor pain relief for an utterly legitimate need. It amazes me how much where you live seems to make such a difference. I fractured my wrist a few years ago and my pcp gave me so much oxy, I thought the pharmacy had for sure made a mistake! The orthos were pretty good too - not as good as my pcp, but a heck of a lot better than what you're describing. Whenever anyone offers me tram I tell them it gives me headaches (which it does.)

I feel awful that so many folks can no longer access it after it being so available. Did anyone ever die from a tram od?
 
@crueheads. If it was just the opiate euphoria, folks would get the same benefit from any opiate. But most of the folks I've observed here say it's tram alone that resolves their depression, which leads me to believe it's, again, the combo of a mild opiate with the serotonin uptake inhibitor that is causing it to work so well for some.

For me (I can't speak of others) the euphoria from Tramadol was very much like the euphoria I get from a lower dosage (3-4 mg) of hydrocodone... There very well could be more to it like you said as more seem to get the euphoric effect from Tramadol vs other opioids. I have to admit it's a feeling I really like, I wish there was a less addictive alternative that gives that euphoric effect, as I could see it being a huge benefit to many that just need the little upper and happiness kick to get off the couch and get stuff done.
 
@crueheads. If it was just the opiate euphoria, folks would get the same benefit from any opiate. But most of the folks I've observed here say it's tram alone that resolves their depression, which leads me to believe it's, again, the combo of a mild opiate with the serotonin uptake inhibitor that is causing it to work so well for some.

For me (I can't speak of others) the euphoria from Tramadol was very much like the euphoria I get from a lower dosage (3-4 mg) of hydrocodone... There very well could be more to it like you said as more seem to get the euphoric effect from Tramadol vs other opioids. I have to admit it's a feeling I really like, I wish there was a less addictive alternative that gives that euphoric effect, as I could see it being a huge benefit to many that just need the little upper and happiness kick to get off the couch and get stuff done.
Well that's sort of the definition of "addictive" isn't it? A substance that provides a very positive feeling that you know will result each time you imbibe that particular substance - that's what keeps one coming back. It wouldn't matter if it was sugar - if it is reliable in providing a positive enough feeling that you seek it again and again - that's where the addiction lies.

What interests me most tho, is that what "hooks" one person varies dramatically from what hooks another. Your remark that you don't have an "addictive" personality to me says more like - if I come across something that I think I might very well BECOME addicted to, I'll back off of it because I don't want ANY substance to have that power over me. (I find that admirable, by the way.) But I also think, as Dr. Mate the addiction specialist claims, the substance one becomes addicted to is actually SOLVING a problem that without the substance, is a source of pain or negativity. I think addiction has way more to do with the complex makeup of someone's emotional life (and individual brain chemistry,) rather than the substance itself. That so many folks are going into opiates like never before, I truly believe is related to the state of our group emotional and societal issues, rather than opiates themselves. Just my thoughts tho...
 

@crueheads. If it was just the opiate euphoria, folks would get the same benefit from any opiate. But most of the folks I've observed here say it's tram alone that resolves their depression, which leads me to believe it's, again, the combo of a mild opiate with the serotonin uptake inhibitor that is causing it to work so well for some.

For me (I can't speak of others) the euphoria from Tramadol was very much like the euphoria I get from a lower dosage (3-4 mg) of hydrocodone... There very well could be more to it like you said as more seem to get the euphoric effect from Tramadol vs other opioids. I have to admit it's a feeling I really like, I wish there was a less addictive alternative that gives that euphoric effect, as I could see it being a huge benefit to many that just need the little upper and happiness kick to get off the couch and get stuff done.
Well that's sort of the definition of "addictive" isn't it? A substance that provides a very positive feeling that you know will result each time you imbibe that particular substance - that's what keeps one coming back. It wouldn't matter if it was sugar - if it is reliable in providing a positive enough feeling that you seek it again and again - that's where the addiction lies.

What interests me most tho, is that what "hooks" one person varies dramatically from what hooks another. Your remark that you don't have an "addictive" personality to me says more like - if I come across something that I think I might very well BECOME addicted to, I'll back off of it because I don't want ANY substance to have that power over me. (I find that admirable, by the way.) But I also think, as Dr. Mate the addiction specialist claims, the substance one becomes addicted to is actually SOLVING a problem that without the substance, is a source of pain or negativity. I think addiction has way more to do with the complex makeup of someone's emotional life (and individual brain chemistry,) rather than the substance itself. That so many folks are going into opiates like never before, I truly believe is related to the state of our group emotional and societal issues, rather than opiates themselves. Just my thoughts tho...

I personally would break addiction into two things, there are the mental and physical aspects... When I say I don't have an addictive I mean that fully when it comes to the mental aspect, but I also mean it with my body chemistry... People vary, for me yes I don't mentally want a drug to have power over me and control my life, Tramadol got to that point, it was basically like some comic strip where there is a critter sitting on your shoulder saying 'pop another pill and you will feel even better' after a few hours even though I actually still felt fine... I have a strong willpower to ignore that... But there is also the physical addiction aspect, of the body revolting if you don't take the meds, over and above the medical purpose you take it... Again for me with Tramadol, I took it for pain, the euphoria was a nice side effect, but once I stopped taking it the physical addiction side effects kicked in not just the return of pain and loss of the euphoric effect but other side effects of the body revolting like extreme lethargy, hot and cold flashes, cold sweats, overall full body flu-like symptoms... For me those physical withdrawal symptoms were way worse and lasted longer than other opioids I have stopped, even some cold turkey while I was just tapering off Tramadol... This physical addiction to Tramadol was pretty unique this way... In my younger days I could start/stop smoking on a dime, nicotine never was able to really grab me, same with other opioids, they never really physically grabbed me, but Tramadol was different, at least for me it grabbed my otherwise non-addictive chemistry and it did it fast aka after only a few weeks of use...
 
Tramadol is a special drug. It seems like people either love it or hate it.

I speculate that the opiod and antidepressant qualities really just do it for some people.

It's a shame doc's won't prescribe it off label for depression. It's not inherently dangerous except in super large doses and is certainly preferable than other options or major depression....
 
I started with it because it was much easier to get and cheaper than other opioids. It helps alot with my condition without making me feel doped up. The SNRI part of it also helps me as well. I can get things done while taking it, the more heavy duty stuff makes me want to zone out and chill.
 
I wish I could still take it but I get seizures when I'm on it. I also loved the sense of well being that came along with the pain relief.
 
I wish I could still take it but I get seizures when I'm on it. I also loved the sense of well being that came along with the pain relief.
I have epilepsy and have certain triggers but tramadol hasn't been one of them.

It triggers you at under 400ng/day?
I used to take approximately 300mg/day. It lowers your seizure threshold even at low doses and for whatever reason I'm highly susceptible to seizures. It's been a pain to find something else that worked that well.
 
@rachy

A combination of Paxil and Buproprion is very effective. Tramadol has a similar effect (on serotonin) as prozac and buproprion effects dopamine. I am in the field.
Can I ask why both Paxil and bupropion instead of one or the other? Do you start with one and then add one in?
Paxil and prozac are both SSRI's and commonly prescribe for depression while bupropion is often prescribe for anxiety. Since tramadol is both a pain med with a calming effect and an antidepressant, taking both medications in conjunction may come close to appropriating the effect of tramadol. I can say I did try prozac in the past and got no relief, only negative side effects. My doctor recommended an SNRI like Cymbalta. She said tramadol was closer to SNRI rather than an SSRI. Haven't tried it yet so can't comment further on it's effectiveness.
 
@דייווי קרוקט I totally agree that tramadol shouldn't be used for short term acute things (broken bones, after surgery)
I think it can be alright for mild pain like back pain.

I think the vast majority of tramadol lovers use it for the mood effects.
 
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