Tramadol To Amitriptyline To Aid Sleep


Jun 14, 2015

after using Tramadol for several months with limited success I have now been prescribed Amitriptyline also to aid sleep. I was constantly waking up at night in pain but this is seeming to work thankfully.

Is it a concern though that it does knock me out and I do work night shifts..... 

Perhaps I need to change my shift pattern temporary?

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Amitriptyline To Nortriptyline - Sleep Problems

I've been taking a low level of amitriptyline (10 - 20mg daily) for chronic pelvic pain for about 5 years (possibly longer).  Recently, my specialist suggested I change to Nortriptyline (10mg daily) as it has less side effects - particularly the 'foggy-head' feeling in the morning that I often experienced.

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I began tramadol in June 2014 after surgery. It subsided the pain and made me feel good. Like happy and optimistic about my recovery. I couldn't drive while recovering, so I walked everywhere, including to physical therapy appointments. That was all of last summer. I stayed on them until January to help with physical therapy discomfort. Then I suffered an elbow injury also in January, so stayed on them. My surgeon who originally prescribed them began cutting down on what he prescribed, so I found them elsewhere. This past spring, I began drinking alcoholic beverages after taking my last dose at around 5pm. Two months later was a disaster. Since, I have learned two very important things about Tramadol. One is that it's also an antidepressant and two, alcohol makes them even more addicting. This I learned through all the research I desperately sought. I am now 11 days without taking Tramadol and It's been hell. I spoke to a detox facility and they said that my insurance company would not pay for treatment for Tramadol because it is...wait for it... NOT ADDICTING. So here I am still trying to get this poison out of my system. It stinks because it is now I need something to calm my symptoms. Which is the lesser evil? I have no energy, depression, muscle weakness, no motivation and can cry at any given moment. Why me, why any of this? Doctors need to know what Tramadol truly is as do the insurance companies.

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I'm 14 years old and yesterday school started after two weeks of holidays. I went to bed at 11 PM and woke up at 4 AM. I tried to go back to sleep but I just couldn't. At 6 AM I got up and got ready for school. After school I was really tired and took an hour long nap, but I was still extremely tired. I went to bed at 9 PM and fell asleep in a second. I woke up at 2:30 AM and tried my best to fall asleep, but it didn't work. Its 6 AM right now and Ive done some homework, as I couldnt do them yesterday because I was so tired. The thing is, this didn't happen in my holiday, and I get really cranky when I don't get enough sleep. Do I have insomnia?

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Last Friday (16/Sep/11) I had an op to repair an umbilical hernia (overnight stay). On being discharged the nurse gave me a packet of 50 mg Tramadol capsules to ease the pain, although the pain wasn't that bad. I had been walking to the toilet (in hospital) within 4 hours of recovering from the op.

Anyway, I got home on Saturday and what with the fairly long walk from the hospital to the taxi, plus getting in and out of the car, I was starting to feel some twinges, so I took 2 Tramadol. Much later that evening I started to have really weird side effects. They are so difficult to describe. A combination of panic attack, dizziness, extreme fatigue, and difficulty nodding off to sleep. I'd nod off, like one does, then I'd immediately have these images in my head - people I'd seen on TV that day, cars, animals, all jumbled up.

Then I must have fallen asleep for an hour or two only to come awake with a start after having this veritable nightmare of there being someone in the room and when I opened my eyes (in my sleep just before coming awake) there was this extremely tall guy, 9 feet tall, his head was literally brushing the ceiling. Then "he" walked across the room to another bed (my mind thought it was still in the 4-bed unit in the hospital ward) and disappeared! As if in a puff of smoke. And at that point I awoke feeling hot and sweaty.

So those were the last Tramadol *I* was ever going to take, I can tell you. And then, yesterday, Thursday I had severe itching at the surgical wound site. This had nothing to do with the Tramadol I'd taken on Saturday, which must have been out of my system by then. Anyway, apart from the itching there was still a bit of an ache, so I thought I'd take just a single Tramadol capsule.

The itching went; the dull ache went. But this morning, very early, about 04:00am, I awoke feeling anything but refreshed. I had some numb feelings in my hand and thigh, they kept coming and going. I got up at around 05:45 am, make a cup of tea, then suddenly felt very weak. Jittery, fast pulse, zonked. Since then I have just lain on my bed in between going for a short walk and am drinking glasses of water in an attempt to flush this [b:095f76e716]POISON[/b:095f76e716] out of my system and am starting to feel a little better.

Earlier in the week on doctor's recommendation I booked an appointment with the nurse for this afternoon to have the dressing changed and the incision checked (it's a long, vertical cut about 4 inches long; they found two hernias), and in order to save on taxi fares I booked one of the free pick-up buses to take me and bring me back. However, I've just cancelled them and have ordered a taxi instead as I cannot face the lengthy zig-zag route these buses often take as they have to pick up numerous other people. I'll talk to the nurse about Tramadol and see what she says. I don't need any pain killers now and if I still get one or two twinges in the next few days, I shall take only paracetamol if necessary. (Not allowed to take ibuprofen or similar NSAIDs as I have a tendency to gastritis and duodenal ulcer.)

So, I am never going to touch Tramadol ever again and this time I mean it. I would not recommend it to my worst enemy. If some people take it just to get "high" they must be stark, raving mad.

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I've been taking around 150mg/day for the last 4 months. I was on 200mg/day but a couple months ago, I cut myself back to 150mg/day.

I get a refill on my meds next week but I think I'm going to pass on it and just taper with my remaining supply. I have about 40 50mg pills left.

What's the best and SAFEST way to taper with these?

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