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@csmiller, in addition to @clutch's helpful reply, I'm bringing @jdiakiw @mompiano @catharbert @mcd123 into this discussion as they also have experience with tapering off tramadol.

When tramadol is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose.

It sounds like your use of tramadol is temporary and that you feel you no longer have the need for it and therefore want to taper safely and without withdrawal symptoms. Do I have that right?

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Replies to "@csmiller, in addition to @clutch's helpful reply, I'm bringing @jdiakiw @mompiano @catharbert @mcd123 into this discussion..."

For 50 years I suffered from headaches/migraines I was taking 10-20 222with codeine. Advised to off it. I did. I immediately started taking oxycontin increasing to 180 a day plus fentynl. Advised to get off it. Over a miserable year I tapered off. Started taking tramadol and increased dosage till a dr told me I had MIH. or medicine induced headaches. ( or something like that). I tapered off and didn’t go to anything else after a couple of months the headaches went away. It to awhile but hey went away. I’m 86 and haven’t had a return chronic headache condition. I may take an acytomenophen once a month now. I was told I would not live past 2021 without major open heart surgery but I wou,d not survive with all my co-morbidities. still kicking