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Tramadol Transition for Muscle / Back / Joint pain:

IMPORTANT NOTE: This information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other health care provider. It should not be construed to indicate that the use of the medication(s) shown are safe, appropriate, or effective for you. The information shown is general and does not cover all directions, possible drug integrations, or precautions. Information on this site cannot be used for self-treatment and/or self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care provider. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site nor will we be held responsible for consequences of self-treatment. Consult your health care provider before using any drug.

Withdrawal effects may be managed for those who took Tramadol regularly, but it is still possible to experience symptoms. It it better not to stop Tramadol "cold turkey" but to wean off by 50-100mg weekly, along with an alternative medication. Examples of transition programs are listed below. In some cases, anti-depressants may be needed to help with the side effects.

Depending on your health condition various options may be available. Listed below are some common examples of treatments. Please use our FREE Physician Contact Form so that a network physician can tailor treatment options for your medical condition.

For Muscle / Back / Joint pain:

** Methocarbamol (generic Robaxin) - Common therapy includes 1 gram (2 x 500mg tablets) twice daily as needed, helps to relieve pain and stiffness in muscles caused by strains, sprains or other injuries to your muscles. Methocarbamol may impair mental and/or physical abilities required for performance of hazardous tasks, such as operating machinery or driving a motor vehicle. Patients should be cautioned about operating machinery, including automobiles, until they are reasonably certain that Methocarbamol therapy does not adversely affect their ability to engage in such activities.

** Baclofen (generic Lioresal) - Baclofen is used for treating severe muscle spasms and cramping of muscles due to a variety of causes, Baclofen is not indicated in the treatment rheumatic disorders. Common therapy starts at a low dosage and increases gradually until optimum effect is achieved (usually between 40-80 mg daily).

** Cyclobenzaprine (generic Flexeril) - Cyclobenzaprine relaxes muscles and relieves pain and discomfort associated with strains, sprains, spasms or other muscle injuries due to a variety of causes. It has also been used off-label for fibromyalgia treatment. For most patients, the recommended dose of Cyclobenzaprine is 5 mg three times a day. Based on individual patient response, the dose may be increased to 10 mg three times a day. Use of Cyclobenzaprine for periods longer than two or three weeks is not recommended.

** Tizanidine (generic Zanaflex) - Tizanidine helps to relieve muscle spasms. The recommended starting dose is 2 mg. Because the effect of Tizanidine peaks at approximately 1 to 2 hours post-dose and dissipates between 3 to 6 hours post-dose, treatment can be repeated at 6 to 8 hour intervals, as needed, to a maximum of three doses in 24 hours. Dosage can be gradually increased by 2 mg to 4 mg at each dose, with 1 to 4 days between dosage increases, until a satisfactory reduction of muscle tone is achieved. The total daily dose should not exceed 36 mg.

** Orphenadrine Citrate (generic Norflex) - Orphenadrine is used with rest, physical therapy, and other measures to relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Orphenadrine is in a class of medications called skeletal muscle relaxants. It works by changing the way the body senses muscle pain. Common dosage is 100 mg orally twice a day (morning and evening).

** Metaxalone (generic Skelaxin) - Metaxalone is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain. Metaxalone is used, along with rest and physical therapy, to treat injuries and other painful muscular conditions. The recommended dose for adults is one 800 mg tablet three to four times a day as needed.

** Gabapentin (generic Neurontin) - Gabapentin is an analgesic for neuropathic (nerve) pain and is an anticonvulsant effective in helping to control partial seizures (convulsions). Gabapentin may help with certain menopausal symptoms, such as hot flashes and may be effective in reducing pain and spasticity. Off-label uses for treatment for anxiety disorders, and insomnia. Best beginning dose is 300mg three times daily titrating up to 1800mg daily, as tolerated.

**These options are examples. Only a licensed health care provider can determine your health care needs.



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