Weaning off of Ultram ER (Tramadol)

[chicken]

Unfortunately, it is very possible that you will experience withdrawal effects. These vary depending on individuals. Most often patients report sweats, nausea, anxiety, craving for the drug, i.e. flu like symptoms. It is impossible to predict how your body will react. It depends on how long you took tramadol and what dosage. There were some cases, when withdrawal caused hallucinations, agitation, and severe anxiety symptoms. However, this is rarity.
As most here said, the best option is a gradual withdrawal. I would advise you to decrease your daily dose by 10-25% once a week. 200 mg daily would be 150-170 mg daily for one week, then 125-150 mg daily for one week, etc…to make it easy, as long as you are over 175 mg per day, decrease daily dose by 25 mg once a week, until down to 25 mg daily for one week, the do 25 mg every other day for one week, then 25 mg on Mon/Wed/Fri for one week, then Monday and Friday for one week, then 25 mg on Wed for one week then stop….
I know it sounds terribly, but this is the only way to avoid bad consequences- sticking to a schedule without any excuses. You might ask what is that all for? Remember, that taking drugs changes your brain chemistry. A sudden change (for instance when you stop taking medicines suddenly) makes it confused and it starts to produce various unpleasant symptoms. Rebuilding of the brain chemistry should be a slow, careful and gradual process. Take care and remember- even withdrawing from medicines involves some requirements, which you need to fulfill.