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Combinations - tramadol and methadone

Discussion in 'Opiates & Opioids' started by knyvezz, Jan 13, 2010.

  1. knyvezz

    knyvezz Newbie

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    27 y/o Male from U.S.A.
    Has anyone combined the two with a positive outcome? SWIM's doc gave him tramadol for back pain, and he's getting methadone pills to kick the dope, but why not go out with a bang? Maybe literally.

    SWIM's last time gettin high depends on it!

    thanks in advance

    knyvezz
     
  2. Helene

    Helene Gold Member

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    The way the OP phrased the question bothers swim a little, "going out with a bang"? Initially I read this to mean wanting to have one last go at getting high before committing to a methadone programme, but it could be read as a self-harm/ suicide reference. In which case, sorry, but this type of discussion goes beyond the scope of the forum, which focuses on drug use and harm reduction.

    This is also a forum rule, as specified in this thread -
    New rule: Suicide threats and self-injury threads are forbidden.

    However, I am gonna give it the benefit of the doubt for now, and leave the following info for you about using tramadol whilst on methadone:

    Swim was recently prescribed tramadol for post-op pain relief, on top of her methadone script. She wrote about the experience in the Tramadol Experiences Thread:

    Hope that helps answer your question, and please do come back to clarify your above post, and put our minds at rest.

    H
     
    Last edited: Jan 15, 2010
  3. Abrad

    Abrad R.I.P. Platinum Member & Advisor

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    Why is it his last time getting high? And what do you mean by "going out with a bang"?
     
  4. chillinwill

    chillinwill Newbie

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    I think he might mean getting clean possibly?
     
  5. Helene

    Helene Gold Member

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    That's the way I read it, the OP is trying to get clean, but wonders if he can have a final blow-out with the trams... in case he didn't get this from my above post, the answer to that is no - tramadol on top of methadone will not get you high, in all likelihood the only effects you're gonna get are some pain relief and maybe a reduction in the efficacy of your methadone, causing you to start withdrawing. They really aren't recommended to be used concurrently, for that very reason.

    H
     
    Last edited: Jan 15, 2010
  6. Spucky

    Spucky Palladium Member

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    AW: tramadol and methadone

    The Cat strongly recommend to go into the very informative File/Document Section for a Read!

    Tramadol and Methadone are a bad combination, this is what the Cat remember
    but not why!

    Maybe Tramadol is in/ decreasing the Blood plasma level of Methadone
    or something similar happen,
    or something happen inside of the synaptic cleft,

    not remember exactly!

    Tramadol is not considered an opioid, but in fact, it is.
    It is simply that it does not depend solely on its opioid quality for its pain relieving ability.
    As a result of its action, it effects methadone levels as a mixed agonist-antagonist.
    It should be avoided by those using methadone.
     
    Last edited: Jan 15, 2010
  7. fatkidzonmopedz

    fatkidzonmopedz Silver Member

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    tramadol isnt a very good drug to mix with anything jsut because it seems pointless. first time swim tried tramadol he took 4 and it felt like a tab 5, did it the next day and just felt sweaty and ill. methadone also has the potential to make you nauseus (sp?) so i wouldnt reccommend mixing them. swim says just take the methadone to help get off the smack. swims never done smack but hes done methadone and can see how it could possibly help you, just hope you dont get hooked.
     
  8. Helene

    Helene Gold Member

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    Yes, this is correct. As stated in swim's above post, tramadol lessens the effect of methadone, meaning that it is very possible that you will wake up in withdrawal, even after taking your normal methadone dosage. This is even more important for someone who is just starting methadone treatment, and has not yet stabilised on it.

    If someone with a physically addiction to heroin is put on a methadone script of course they're "hooked" - methadone just substitutes the heroin they used to use daily, and stops withdrawal occurring. A heroin addict can't just swap from heroin to methadone, then quit the methadone straight off without experiencing any withdrawal. One would need to slowly taper down, reducing their methadone dosage by small increments in order to avoid extreme physical withdrawal.

    H
     
    Last edited: Jan 16, 2010
  9. hammertime

    hammertime Silver Member

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    SWIM knows from first hand experience that as little as 200mg of tramadol get some people high.

    While SWIM was in prison people were getting into debt for these tablets and 400mg was the recommended dose for a "buzz"

    SWIM felt it was a waste of tabacco and only felt a small head change off 500mg but his pad mate was feelin effects off as little as 200mg.

    Of course everyone involved was addiction free due to situation (prison) so tolerances were very low.
     
  10. Helene

    Helene Gold Member

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    The problem with tramadol is that it doesn't really behave as a straight forward opiate. Someone who is addicted to something like heroin or methadone will have a high tolerance to opiates, and they could take a relatively large amount of something like oral morphine sulphate without any serious negative effects (as long as the dose was within reason, carefully calculated and based upon their current tolerance/ habit). But this sort of logic cannot be applied to tramadol - the maximum safe oral dosage is 400mg per day, and this is regardless of tolerance or habit size. The higher the dose, the greater the likelihood is that a seizure will occur. The reason for this is its tendency to trigger seizures, and the fact that this effect does not decrease with opiate tolerance. If you have never taken tramadol before and never experienced a fit, it is impossible to know how low/high your seizure threshold is, or if tramadol is likely to trigger a fit. To be safe, anyone with any history of fits or seizures should avoid tramadol entirely, and everyone else should avoid taking more than 400mg of tramadol in any 24 hour period.

    H
     
  11. knyvezz

    knyvezz Newbie

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    I guess I should have specified. SWIM is not planning on hurting himself, but on the contrary, he wants to become healthier and happier. He's on day 5 of his withdrawals and has been taking suboxone as he needs and sees fit. He decided not to go with the done since he heard it was as addictive as heroin, and he really didn't wanna start up a new addiction (the cigarettes are enough..). And, he didn't go through with the trams either. He wanted to get nice and high one last time but said screw it and has been doin well since. He knows it's only day 5 and it's not much of an accomplishment but hey, it's a start, right?

    Wish SWIM luck xD