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Q: Does tramadol cause withdrawal symptoms when combined with an opoid, or methadone, for a long-term user, who is probably physically addicted? A: Tramadol is in a drug class called opiate agonists. Tramadol is used for the management of moderate to moderately severe pain. Tramadol works by altering pain sensation in the body. According to tramadol’s prescribing information, withdrawal symptoms may happen if people who take tramadol discontinue tramadol abruptly. Withdrawal symptoms can include: anxiety; sweating; insomnia (trouble sleeping); rigors; pain; nausea; tremors; diarrhea; upper respiratory symptoms; erection of the hair of the skin; and rarely hallucinations. Other less frequent symptoms that have been seen upon the discontinuation of tramadol include: panic attacks, severe anxiety, and burning or prickling sensations. Withdrawal symptoms may be avoided by tapering (gradually decreasing) tramadol at the time of discontinuation.
-Initial Dose for patients CURRENTLY receiving immediate-release tramadol: Calculate the 24-hour immediate-release requirement and initiate with a total daily dose rounded down to the next lowest 100 mg increment given orally once a day -Individualize dose as needed and as tolerated -Maximum Dose: 300 mg per day
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Q: Does tramadol cause withdrawal symptoms when combined with an opoid, or methadone, for a long-term user, who is probably physically addicted? A: Tramadol is in a drug class called opiate agonists. Tramadol is used for the management of moderate to moderately severe pain. Tramadol works by altering pain sensation in the body. According to tramadol’s prescribing information, withdrawal symptoms may happen if people who take tramadol discontinue tramadol abruptly. Withdrawal symptoms can include: anxiety; sweating; insomnia (trouble sleeping); rigors; pain; nausea; tremors; diarrhea; upper respiratory symptoms; erection of the hair of the skin; and rarely hallucinations. Other less frequent symptoms that have been seen upon the discontinuation of tramadol include: panic attacks, severe anxiety, and burning or prickling sensations. Withdrawal symptoms may be avoided by tapering (gradually decreasing) tramadol at the time of discontinuation.
-Initial Dose for patients CURRENTLY receiving immediate-release tramadol: Calculate the 24-hour immediate-release requirement and initiate with a total daily dose rounded down to the next lowest 100 mg increment given orally once a day -Individualize dose as needed and as tolerated -Maximum Dose: 300 mg per day
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