Tramadol Dependency & Addiction Treatment

Tramadol Withdrawal Center Near Me

ANR Clinic is Now in the US

Tramadol is the victim of its own success. In the ’90s, Tramadol was widely prescribed as an effective non-addictive pain killer with no side effects. In 2016, Tramadol was the 39th most prescribed medication in the United States, with more than 19 million prescriptions. Because Tramadol is a milder form of opioid medication and because of the lack of information, people misguidedly believe the drug is not addictive. In 2011, 21,649 people visited the Emergency Department for tramadol-related misuse or abuse, an increase of 250 percent from five years earlier. 

What is Tramadol?

Tramadol, sold under the brand name Ultram among others, is an opioid pain medication used to treat moderate to moderately severe pain. When taken by mouth in an immediate-release formulation, the onset of pain relief usually begins within an hour. It is also available by injection. (resource)

Tramadol is an opioid analgesic, an opioid pain medication used to treat moderate to moderately severe pain. The pain relief usually starts within an hour. Tramadol is considered as powerful as morphine for mild to moderate pain, but less effective than morphine for severe pain. Tramadol is sold under brand names Ultram, Ultram ER, ConZip, Ryzolt, and others. Street names for Tramadol include chill pills, trammies, and ultras. Like other opioids, Tramadol is also commonly used as psychoactive substances.

Tramadol works little differently than other opioid drugs. In addition to reducing pain, Tramadol inhibits the re-uptake of serotonin and norepinephrine, potentially resulting in more complex mood changes than other opiate analgesics. 

Despite its relatively low potency, Tramadol carries many of the same dangers as other opioids. Because it binds with the brain’s opioid receptors and depresses the central nervous system, Tramadol can cause respiratory depression and death.

Addiction to Tramadol

Tramadol is often prescribed because it is considered less addictive than other opioid painkillers even by medical professionals. professionals. Patients therefore often ask, “is Tramadol an opiate or is tramadol an opioid?”. While most painkillers are schedule II substances under the Controlled Substances Act, Tramadol is a schedule IV opioid substance, considered by the DEA to have an accepted medical use and lower potential of abuse compared to Schedule III substances such as codeine.

How Addictive is Tramadol?

Tramadol is an opiate pain medication used to treat moderate to moderately severe pain. When taken as an immediate-release oral formulation, the onset of pain relief usually occurs within about an hour. It has two different mechanisms. First, it binds to the μ-opioid receptor. Second, it inhibits the reuptake of serotonin and norepinephrine. Serious side effects may include seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction. Common side effects include: constipation, itchiness and nausea, among others. A change in dosage may be recommended in those with kidney or liver problems. Its use is not recommended in women who are breastfeeding or those who are at risk of suicide. Tramadol is marketed as a racemic mixture of both R- and S-stereoisomers. This is because the two isomers complement each other’s analgesic activity. It is often combined with paracetamol as this is known to improve the efficacy of tramadol in relieving pain. Tramadol is metabolised to O-desmethyltramadol, which is a more potent opioid. It is of the benzenoid class.

After frequent and long-term use of Tramadol, people usually develop a tolerance to it. What happens is that Tramadol disrupts the body’s natural production of endorphins. Our bodies naturally produce endorphins and their production is stimulated by internal and external triggers such as pain, fear, excitement, physical exercise, love, and others. Normally, our body produces just enough endorphins according to stimuli. Once the simulation has ended, the level of endorphin in our body goes back to its normal level. Opioids such as Tramadol suppress this body’s natural production of endorphin and cause the body to produce an additional number of endorphin receptors. The more Tramadol, a person, introduces into the body, the more receptors are produced, which demand more opioids, creating a never-ending cycle of demand and supply. Person’s need for more opioids creates powerful neuro-biological needs, a constant demand for more opioids. Once the level of Tramadol goes down between the doses or a person stops taking it altogether, he or she experiences the unpleasant and sometimes severe symptoms of withdrawal.

Tramadol withdrawal symptoms are described as flu-like but can be much more severe. People with chronic pain are likely to become dependent and eventually addicted to Tramadol, but people also use Tramadol for its euphoric and calming effects. Individuals who abuse Tramadol usually feel relaxed and happy. That and the ease of obtaining Tramadol are the reason for its popularity among young people.

While dependence is a physical reliance on a substance like Tramadol, addiction is a behavioral issue. A person can be dependent on a substance and not be addicted to it.

Signs of tramadol addiction and dependence

If you have been using Tramadol for a long time and feel any of these symptoms, you should look for help with tramadol withdrawal clinic:

  • Using larger and larger amounts of Tramadol to have the desired effects;
  • Using Tramadol to relieve nausea, anxiety, sweating, shaking and other tramadol common withdrawal symptoms;
  • Doctor-shopping in order to get enough Tramadol for your increased need;
  • Being unable to cut back or stop using Tramadol when you want;
  • Neglecting regular activities you once enjoyed;
  • Taking an increased dose of Tramadol in spite of its negative effect on your life;
  • Taking uncharacteristic risks while under the influence of Tramadol.

Withdrawal Symptoms

Long-term use of high doses of tramadol results in physical dependence and withdrawal syndrome. These include both symptoms typical of opioid withdrawal and those associated with serotonin-norepinephrine reuptake inhibitor (SNRI) withdrawal. Standard opioid withdrawal symptoms include:

  • Nausea and vomiting
  • Anxiety
  • Insomnia
  • Hot and cold flushes
  • Perspiration
  • Muscle cramps;
  • Watery discharge from eyes and nose;
  • Diarrhea.

Some of the tramadol withdrawal symptoms are related to its effect on catecholamine and serotonin receptors. Psychosis is one of the tramadol atypical withdrawal symptoms. It usually subsided a few days after withdrawal symptoms are suppressed. 

Atypical symptoms when withdrawing from Tramadol include:

  • Panic attacks;
  • Severe anxiety;
  • Hallucinations;
  • Paranoia;
  • Confusion;
  • Numbness and tingling in extremities.

    The increased abuse of Tramadol resulted in an increased number of tramadol withdrawal detox centers. The centers and clinics offer different methods of detox and treatment. One of the most successful methods of tramadol detox and treatment is ANR or Accelerated Neuroregulation. This method approaches addiction to opioids by addressing the fundamental neuro-pathophysiologic imbalance caused by opiate dependency. ANR clinic in Florida is now a recognized withdrawal treatment center.

Schedule a FREE consultation with one of our physicians today

Tramadol Withdrawal Timeline

In most cases, tramadol withdrawal (Ultram Withdrawal) will start showing symptoms in 12–20 hours after the last dose. It depends on many factors, such as:

  • The typical dose;
  • The duration of use;
  • Additional substance abuse, such as combining Tramadol and alcohol.

Tramadol withdrawal lasts longer than that of other opioids. Acute withdrawal symptoms can last seven days or more. Typically they last three to four days for codeine and codeine analogs. Certain psychological symptoms such as depression and a general feeling of unease may last even longer.

The reason for the debilitating withdrawal symptoms is the body’s craving for endorphins. Without taking more opioids, there are not enough endorphins to fill the newly created receptors. Traditional detox methods only address the symptoms of withdrawal. The only way to really stop the symptoms and body’s dependence on more Tramadol is to rebalance the endorphin production in the body. Until the endorphin-receptor balance is brought to balance, to its original state, a person will continue to suffer the drug dependency, detox relapse and disrupted life. 

The Accelerated Neuro-Regulation or ANR treats the biological root of the dependence and brings back the nervous system into balance, by causing it to modulate the receptor-endorphin balance and letting the body to continue its normal endorphin production and to, at the same time, metabolize and eliminate external opioids.

Re-balancing the body’s cellular, neurochemical, and endorphin-receptor systems can finally stop the bio-physical cravings that a person feels like a constant craving for more drugs. 

The ANR treatment and method takes only several hours under sedation and virtually guarantees that all patients who undergo it will not only be free of withdrawal symptoms but of their dependence on the drug from its core.

Detox from Tramadol

Like with other opioids, it is not recommended to stop taking tramadol ‘cold turkey’ once a person is dependent on Tramadol. There are two main established types of detoxification programs: social detox and medically assisted detox.

Social detox

In social detox, the recovering tramadol user undergoes minimal professional treatment, which mostly focuses on support and encouragement during the initial periods when withdrawal symptoms are most severe. This method does not take into account that tramadol dependency is a physical condition that has to be addressed on the physical level. While social assistance is useful in support of medical detox, in itself, it is not able to solve the problem of dependence on Tramadol and the addiction to the drug. 

Medical detox

Medically assisted detox is conducted with the help of a medically trained staff. Their job is to evaluate, stabilize, and treat tramadol withdrawal symptoms with medications to try to achieve as much comfort to the patient. The pain and suffering during this rough period increase the chances of relapse.

In traditional medical detox methods, a patient undergoes a tramadol withdrawal help tapering program where the medical staff will assess current usage and begin reducing the dose over the course of days or weeks. 

Dr. Waismann’s Accelerated Neuroregulation eliminates the detox symptoms and opioid dependency in a matter of hours. ANR addresses the issue of opioid dependency and addiction purely from a modern scientific and medical perspective. During the treatment, neuro-chemical and endorphin-receptors are regulated and modulated to their “pre-addiction” state while a patient is under sedation. A person goes through physical withdrawal and the process of accelerated neuro-regulation during the same treatment. The treatment lasts 4-5 hours, and the person is able to leave the medical center the next day.

The Substance Abuse and Mental Health Services Administration recommends medically assisted tramadol detox in a tramadol withdrawal center for a number of reasons:

  • The person undergoing detox may need inpatient, professional medical observation;
  • The medical staff is able to monitor the serious physical effects of withdrawal and act if necessary;
  • Mental health issues such as anxiety, panic, and psychosis can be addressed if necessary.

To be successful, detox has to include an individualized treatment plan based on the unique individual needs of each patient. An effective treatment plan is based on:

  • The levels of Tramadol used;
  • Additional substances abused in addition to Tramadol;
  • Patient’s physical health;
  • Available support system:
  • Previous attempts to quit tramadol use.

In the traditional, mainstream clinical tramadol detox, some of the more intense symptoms of withdrawal, such as depression and drug cravings, are managed with medications. 

Rapid Tramadol Detox

Some treatment centers and clinics offer rapid or ultra-rapid detox from opioids like Tramadol. This method involves putting a patient under general anesthesia while he or she is going through the withdrawal to reduce the uncomfortable symptoms. After the withdrawal symptoms are finished, the patient receives an injection of Vivitrol or Naltrexone, which has to be used continuously after the rapid detox is over. Rapid detox as a therapy method is not effective mostly because of the inappropriate use of Naltrexone, which is an opiate antagonist. Naltrexone is frequently used for the wrong reasons and at the wrong dosages. When Rapid Detox clinics use Naltrexone, there is often no regard for the needs of each individual patient.

Rapid detox treatment has been developed by Dr. Waismann in the 90s. Due to Dr. Waismann’s success, rapid detox treatment was widely and quickly adopted and is still being implemented in a  range of facilities without collecting enough information about each patient to perform it safely. As a result, Rapid Detox has shown poor results with some severe complications. In addition, Rapid Detox centers do not make a vital difference Dr. Waismann used between opioid addiction and opioid dependency. Nevertheless, many tramadol withdrawal detox centers using Rapid Detox treatment are promoting their services with high levels of success. 

While they are still regularly promoted, Detox or Rapid Detox procedures are widely replaced by ANR or Accelerated Neuro-Regulation.

Tramadol Addiction Treatment

The main reason for the failure of traditional tramadol treatments is that they are not addressing the physical causes of the addiction to the drug, only the symptoms. 

Dr. Waismann’s Accelerated Neuroregulation reverses both the tramadol dependency and the withdrawal symptoms by addressing the fundamental neuro-pathophysiologic imbalance caused by opioid dependency. ANR addresses a patient’s mental disorder caused by the body’s drug dependency.

The goal of the ANR method is to return the central nervous system into balance by forcing it to decrease the production of opioid receptors and allowing the body to continue its proper endorphin production. At the same time, the body is metabolizing and elimination unneeded introduced opioids. During the treatment period, under sedation, a patient’s physical withdrawal is progressing, and the accelerated neuro-regulation starts. In about five hours, neuro-chemical and endorphin-receptors are regulated and brought to their “pre-addiction” state. A patient leaves the ANR clinic the next day.

Outpatient/Inpatient Rehab for Tramadol Addiction

In traditional mainstream rehab programs for Tramadol, drug addicts are recommended outpatient or inpatient treatment program. The appropriate program depends on the level and the duration of the addiction and how seriously the addiction affects a person’s life. Unfortunately, traditional treatments are showing almost 80 percent of the relapse rate. If the physical reasons for the addiction are not addressed, a person is doomed to returning to the drug in a constantly perpetuating cycle. 

ANR – Accelerated Neuroregulation Treatment

Dr. Waismann’s Accelerated Neuroregulation treats both the opioid detox symptoms and drug dependency. ANR reverses dependency on Tramadol as well as other opioids such as heroinMethadoneSuboxoneSubutex, and other prescription medications. The method is safe, effective, and humane. 

ANR approaches addiction to opioids from a completely different point of view from most of the mainstream medical community. People who develop an opioid dependency through using opioids suppress their natural endorphin production by inducing their nervous system to increase the number of active endorphin/opioid receptors. As the use and abuse of opioids continue, this creates a vicious self-perpetuating cycle: the more opioids a person uses, more and more receptors are created, and the person needs greater and greater amounts of opioids to satisfy their neuro-biochemical demand, a constant craving for more drugs. Unless the balance is restored to the person’s original, natural production of endorphins, the addict is doomed to a constant struggle for more drugs, which affects his or her entire life and can be fatal. 

During the treatment period, which lasts a day and a half, after a thorough medical exam by a team of physicians, a person is put under sedation for 4-5 hours. The physical withdrawal from Tramadol is induced, and the process of accelerated neuro-regulation begins. Neuro-chemical and endorphin-receptors are regulated and modulated to their “pre-addiction” state.

The entire process is carefully monitored by an experienced medical crew that includes a physician, an anesthesiologist, and intensive care nurses who are using an Intensive Care Unit set up that displays real-time patient data. The anesthesiologist is also continuously observing and reassessing the progress of the therapy and the patient’s physiological status through a physical examination. If necessary, he is there to assist the patient with appropriate medication to achieve optimal modulation and regulation at the endorphin-receptor level, the reduction of the withdrawal symptoms, and the lowering of the adrenergic response. Each patient has a unique response depending on their medical history. People with chronic underlying medical issues such as hypertension or obesity require very different treatment from a healthy person. 

This new approach brought the treatment of the addiction to Tramadol and other opioids to a new era. ANR replaces the archaic, outdated conventional approach of detoxification, replacement therapy, and long-term in-house rehabilitation with the Accelerated Neuroregulation – ANR. So far, Dr. Waismann has successfully treated more than 24,000 patients worldwide. This undoubtedly proves the success of his approach and ANR therapy. ANR is the only treatment used today that addresses the roots of opioid dependency. 

Tramadol Rehab Near Me

ANR therapy is now available at the ANR clinic in the States in Tampa, Florida, as well as in the ANR clinics in Switzerland, Georgia and Israel. You can contact them to schedule an appointment at [email protected] or phone at +1 (813) 750-7470


  1. Addiction Center. Controlled Substances Act and Scheduling. Link. Retrieved on March 11, 2020. 
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th). Arlington, VA: American Psychiatric Publishing.
  3. Drug Enforcement Administration. (2014). Tramadol.
  4. DM Bush, The DAWN Report: Emergency Department Visits for Drug Misuse or Abuse Involving the Pain Medication Tramadol, May 14, 2015. 
  5. National Institute on Drug Abuse. (2012). Principles of drug addiction treatment: A research-based guide (3rd edition).
  6. NCBI. Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings. Withdrawal Management. Link. Retrieved on March 11, 2020. 
  7. Substance Abuse and Mental Health Services Administration. (2016). Prescription drug use and misuse in the United States: Results from the 2015 national survey on drug use and health.
  8. “The Top 300 of 2019”. Retrieved March 12, 2020.Tramadol. Wikipedia. Link retrieved on March 11, 2020.
  9. What is ANR? Link. Retrieved on March 11, 2020.

Become Tramadol Free

Schedule a FREE consultation with one of our physicians today

About Author