Can tramadol cause addiction, and how is it stopped safely?
Tramadol is an opioid that can cause physical dependence, tolerance and addiction, including when prescribed. Physical dependence alone does not establish addiction, but abrupt stopping may cause withdrawal. Starting, reviewing and stopping treatment require a plan suited to the pain, duration and dose.
Details
When do risks increase?
Alcohol, sedatives and certain other medicines can increase severe sedation and breathing suppression. Seizures and serotonin syndrome are also possible with relevant interactions. Give the clinician and pharmacist a complete medicine list.
Follow-up belongs with the prescription
Take it exactly as prescribed, do not escalate the dose or share it, and review whether pain and function meaningfully improve. Seek medical support if use becomes difficult to control or cravings develop.
Stopping and emergencies
Do not abruptly stop regular use without an individualized taper. Slow breathing, difficulty waking or unconsciousness is an emergency: call emergency services and use naloxone if available as instructed.
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