Citation: Tolerant. "For Extra Pain Relief and to Reduce My Anxiety: An Experience with Tramadol & Dihydrocodeine (exp91089)". Erowid.org. May 7, 2019. erowid.org/exp/91089
Tramadol for Anxiety
I took 200mg Tramadol orally to reduce anxiety about a hospital procedure I had today. It was a simple, yet painful outpatient procedure I have had done before, but I get extremely anxious and stressed about this procedure, and have been prescribed Diazepam in the past for this, which I have found helped slightly, but did not relax me as much as necessary. I had been prescribed diazepam for this time as well, but couldnít justify paying the prescription price for 2 pills, so I thought Iíd either take a couple of painkillers (see below), or try the mind-over-matter approach.
I am taking (and have been for around 6 weeks) dihydrocodeine for an injury which I'm in physiotherapy for, and is still pretty painful. Over the last couple of weeks I have reduced the dose from 90-120mg daily, to 15-30mg daily. This morning I took 15mg as usual.
About 2.5 hours later I decided to take 200mg Tramadol, for extra pain relief and to reduce my anxiety. I have to say, the painkilling properties of Tramadol are no better than straight codeine, and nowhere near the levels of dihydrocodeine, but it did (almost completely) remove my anxiety. I thought about the procedure but was unable to get worked up about it.
I have read that Tramadol can cause constipation, itching, nausea, dry mouth, the usual opiate side effects (despite being a synthetic sub-opiate, or something like that, forgive me Iím still on the plateau) and I was prepared for the small amount of nausea Tramadol gives me, and the dry mouth (all opiates give me dry mouth). I did not get much itching, excess sweating or other undesirable side effects, but then I have a pretty high tolerance, and a fair amount of experience with prescription opiates.
Of the three I am most familiar with, I would go with dihydrocodeine every time. Stronger than codeine, doesnít give me any itching (codeine makes me really itchy), no constipation, and (personally) not particularly addictive (Iíve been able to come off them really easily, but then started again as I realized without the painkillers I wasnít able to do my rehab exercises properly and I donít want mobility problems for life), and no nausea like with Tramadol. Iím not anticipating any withdrawal or comedown, mainly because I am still taking the dihydrocodeine and will probably take another 15mg later to combat the pain from the procedure and injury.
Everyone is different though, I have a friend who took 200mg Tramadol and felt sick, itchy and fatigued for 3 days afterwards. Another friend took 2mg Buprenorphine (I wouldnít touch that again, very horrible withdrawal) and had persistent nausea for about a week, although that could have been down to everything else he took that weekend, I did warn him not to take the buprenorphine, and he wishes he listened to me!
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