Please obtain advice from your doctor or pharmacist about reducing opiats as some are very aggresive and can cause severe withdrawals symptoms and can effect everyone differently, many hugs

Yes, I agree with above statement. Tramadol causes dependency issues and be difficult to come off of. It will eventually be a controlled substance just like regular opiates. Coming off can cause nasty side effects. Please consult with your doctor and a pain specialist who can slowly wean you off and counterbalance that with other effective meds/treatments. Tramadol is a slightly different drug than most pain meds, as it has antdepressant properties and can cause withdrawal with those neurotransmitters also. Hugs coming your way....

I am still on my tramadol. Your dose is very high so I would recommend to go down about 10ml every week until down to one. You would be sick if stop it all at once and its very dangerous to do so. So please talk to your gp about slowly going off them if you wish too

Have you tried Allegron? My Rheumatologist put me on that and it has helped greatly with sleep. It is in the same family of drugs as Endep. I have been on it for 3 years.

I was on on Endep for 3 years or so, helped greatly for about the first 2 years, but I felt like I was becoming a Zombie (without the flesh eating tendencies!) and then somehow it started to cause depression which the doctor said is something that can happen with this drug, so he changed me to Lyrica. Again it helped for awhile but became a bit ineffective after about 6 months. I have so many issues getting sleep, and so many of my other symptoms are affected by my bad sleep/no sleep, I really think that if I can improve my sleep (requires sleeping tablets, I don't sleep any other way now, I've tried everything else), I should be able to manage my other issues with alternate therapies etc, and get rid of all other meds. That's my goal anyway. It's the closest I can get to feeling normal/good is after a full night of good sleep. But the Tramadol has to go, I just have to be careful how I do it! Thanks for commenting!! :)