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Well, to begin with tramadol is a synthetic opioid drug which is a central nervous system acting analgesic. Like morphine , Tramadol can also cause psychological and physical dependence , and so if tramadol is abruptly withdrawn , it can lead to psychological withdrawl symptoms like craving and drug seeking behaviour and physical symptoms like chlls, fever, tremors , anxiety
attacks , hallucinations and depression as well.That is why it is always recommended to slowly taper the dose of tramadol and other opiods before taking them off completely.
Now, ideally the protocol to deal with the withdrawl symptoms of Tramadol is to Reinstitute ( restart) , another opioid such as pethidine or methadone , at low dose , and then gradually slowly taper its dose after the withdrawl symptoms subside and then eventually take off the drug completely. In this way the withdrawl symptoms of tramadol will go away.
But, you have stated that your son cannot afford to take narcotic drugs , as he returned to his job , then it leaves us no choice but to get him placed on Anti depressant drug such as Effexor XR ( venlafaxine extended release ) capsule , which has a long duration of action , and works throughout the day and is to be taken only once a day , in the morning. Also it has least side effects and does not make the person drowsy or sloppy and thus does not effect normal daily routine . Other alternative anti depressants are paxil (paroxetine) or zoloft(sertraline) or cymbalta (duloxetine).
So , i have given you two options above , so you shall discuss both of them with your doctor , if the use of another opioid such as pethidine or methadone in treating withrawl of tramadol can be managed , then nothing like it , But, if it is not possible then you shall get him placed on the anti depressant .In either of cases, ask your doctor to decide a low dose , and before withdrawing , mention slow withdrawl otherwise we will be back to square one.
I wish your son rapid recovery to the best of health.
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