01-02-2021, 12:31 PM
Tram hits a lot of different neuroreceptors, and is a functional antidepressant as well as painkiller. If I were coming off tramadol I would do it slowly. If I encountered depression I would consult a doctor about substituting in venlafaxine (which is the antidepressant part of tramadol but without the opiate, so may help with the brain zaps etc). Although note that venlafaxine can be habit forming so trying the smallest dose you can manage - your doctor will also need to be careful with the doses to avoid serotonin syndrome.
Without the help of a doctor I'd go slow and steady to taper it down. You are using high doses at the moment, which can be dangerous in itself, so any reduction will be an improvement for your health.
Good luck!
Without the help of a doctor I'd go slow and steady to taper it down. You are using high doses at the moment, which can be dangerous in itself, so any reduction will be an improvement for your health.
Good luck!