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Addiction & Recovery Message Board


Addiction & Recovery Board Index


Hi Blaster, well I can't imagine that many would have had a worst WD experience than what I went through with Tramadol. For me, the worst WDs were associated with Xanax; followed by Tramadol; then least among them was Vicodin...aka Hydro Hell.

I have never been diagnosed with clinical depression, nor do I feel that I have clinical depression. I have only experienced typical situational depression associated with giref & loss life trauma events. But, perhaps the actual brain chemistry impact might be the same, so it could be a distinction without significance as far as the brain reads it.

Without a doubt my WDs were occurring during a grief/loss period, the death of my mother. While there might be an interesting linkage regarding the intensity of WDs, I don't really think the potential depression factor is dominant regarding the actual habit-forming factor. But, then anything is possible; it could be possible that brain chemistries during grief/loss cycle make us perhaps more vulnerable----but, there is still a habit forming chemistry with the drug itself regardless. The drug by design is an opiate derivative intended to impact the body's opiate sensory receptors. And, it does...in fact, it masquerades so effectively that it eventually actually tricks the sensories into tolerance dependency cycle. There is just sooooooooooo little that is known about all this stuff. Which is the reason for me, post-detox, I only take a habit-forming drug for very short term treatment; e.g., post surgery pain, etc. I realize that for folks with addictions risks that even short term is not an option. While I am cursed with chronic pain management challenges associated with tolerance dependency, thank God have never had to deal with addiction. While there is a shared shallow murky area, there is a very distinct clinical difference.

For those who aren't aware of it...the shared shallow murky area is the tolerance dependency stage. It eventually occurs with all habit forming drugs. Tramadol/Ultram has now been acknowledged by the National Institute of Health as a habit forming drug. The time it takes to develop tolerance dependency varies among individuals based on individual body chemistry. During this period the euphoria and pain management is progressively blunted and requires increased levels to be effective. When the euphoria starts dissipating then it is a sign that dependency is occuring, and action should be taken to stop or switch the drug to break the cycle. With Tramadol, it can be difficult to detect as there is only a minimal, almost undetectable euphoria, so the blunting experience is equally almost undetectable.

With addiction, the clinical distinction for addiction specialists is basically a very simple initial assessment; i.e. the person's ability to properly manage drugs. If a person has an inability to properly manage drugs then the complexity assessment comes into play regarding why and treatment.

However, the initial simple assessment regarding risks are:

1. Is the drug being legitimately prescribed by a doctor?
2. Are you properly managing drugs by taking only as prescribed and not acquiring "extra dosing" supplies through "other" sources?

Both questions should be HONESTLY answered yes. If both questions can not be answered yes then you are at risk of addiction, and the degree of your risks need to be further assessed to determine your treatment needs. With addicts most will answer no to one or both questions. With tolerance dependency most will answer yes to one or both questions. The bottom line is that if both questions can not be answered YES, then further assessment is needed to determine and manage your risks.





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