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It's not as addictive as other opiates. It is physically addictive though, yes.

Opiate withdrawals don't kill you, although you'll want to die; Tramadol has a weird secondary set of effects that act like an SSRI/anti-depressant, so you get both the opiate withdrawal symptoms as well as SSRI discontinuation syndrome symptoms which is a very unpleasant combination.

It's a decent painkiller, but like any opiate based pain medication has potential for abuse.



I think I read about seizures from cold turkey which required a 35 week long tapering schedule to avoid. Checking for a source I don't find this mentioned in official side-effects, only less formal guidance for addicts. Strange.


Seizures can also be caused in "overdose", which is unfortunately very very close to "recreational" doses. It's a very very weird drug in terms of secondary side-effects, the "SSRI" side can cause dangerous issues as well (serotonin toxicity when coupled with other serotonin affecting drugs).




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