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Forum Name: Psychiatric Topics

Question: Weaning off Tramadol - what schedule should I use?


 Rianna103 - Fri Mar 07, 2008 2:05 pm

I have been taking Tramadol 50 mg for the past 2 months for back pain. I would like to stop taking this medication. What schedule can I use to wean myself off. I have taking about 5 pills a day.
 Dr. K. Eisele - Sun Mar 09, 2008 9:31 pm

User avatar Dear Rianna103:

Discontinuation of tramadol or any other medication, as you know, should be done gradually. The rule with pain medication is 10% per day. So, you are taking 250 mg total daily, so you would decrease the amount you take by 25 mg per day. As long as you are not using a sustained release form of tramadol, it would be alright to cut one of the tablets in half. Your discontinuation schedule would like this:

Day 1--225 mg (4 1/2 pills)
Day 2--200 mg (4 pills)
Day 3--175 mg (3 1/2 pills)
Day 4--150 mg (3 pills)
Day 5--125 mg (2 1/2 pills)
Day 6--100 mg (2 pills)
Day 7--75 mg (1 1/2 pills)
Day 8--50 mg (1 pill)
Day 9--25 mg (1/2 pill)
Day 10--0 mg and all done.

Good luck, and should you have any problems with this, please see your prescribing physician.

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