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Tramadol HCL is an effective analgesic mainly used to treat moderate to severe chronic pain. It is also useful for treating fibromyalgia and restless leg syndrome. There are suggestions that it can be used for alleviating depression, anxiety and similar psychological conditions but this is questioned strongly by health practitioners saying that this drug should only be used for these conditions if other treatment options fail. Tramadol is known to help people wean themselves from other opiate drugs (morphine, codeine) but this is not agreed upon by all doctors who are familiar with Tramadol use. It is after all still an opiate and this can easily fill the void of the addiction being fought off.

Tramadol is prone to abuse. If you are using the drug for 3 months in maximum dose (400 mg / day) you have a higher tendency to develop physical and psychological dependence on the drug. You can surely expect a withdrawal when you (with your doctors prompting) stop taking the drug. Compared to other opiates this drug have longer withdrawal period that can last more than 7 days in some cases. Withdrawal symptoms can set in as short as 10 hours after the last administration of the drug. The symptoms of withdrawal include dizziness, mood swings, aggression, depression, sweating, palpitations, and other symptoms that are also identified with SSRI discontinuation.

To better manage withdrawal Tramadol HCL must be tapered off properly under the supervision of your doctor. The weaning process will depend on how long you have been using the drug and the dosage you have been following since you started. Cold turkey is a no-no as this can increase the likelihood of severe withdrawal symptoms like seizures.

Tramadol HCL is commonly available in a 50 mg tablet. There are also ampoules, capsules, powder and even topical gels for Tramadol. The dosage is ideally started at the minimum and this is then increased depending on how the body reacts to the drug the first time. This drug in normal cases can be given every four hours but total dose for the day should not exceed 400 mg. Maximum doses can still differ on age and other health considerations like liver and kidney problems.

Side effects of Tramadol include upset stomach which can manifest itself through diarrhea or constipation. Nausea and vomiting is also common together with drowsiness and fatigue. In cases of overdose seizure can also also be a serious concern which can be even be fatal. Taking Tramadol must always be under the guidance of your physician. You also need to report side effects like hallucinations or difficult breathing. These are considered serious symptoms of adverse Tramadol reaction.


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