actually, in a weird kind, swiy's doctor is right. Tramadol
is NOT an opiate
. opiate is a name exclusive to natural opioids
. Tramadol is an opioid
. Tramadol is also a weak opioid, in fact, the weakest there is. in a lot of countries, it's not even scheduled.
tramadol has also a serotonergic effect in its repertoire, acting as an slight anti-depressant. however, tramadol has also a very high rate of so called non responders (people on who tramadol has little to no effect). tramadol has about the same/slightly higher pain killing strength as codeine
is about 10x as strong, a and codeine is converted to morphine on a 10:1 basis). Tramadol has a low binding affinity to receptors, and has virtually no binding affinity to receptors causing breathing depression. Tramadol also carries the very low risk of a serotonergic syndrome if combined with any other serotonergic drug
vicodin is acutally a pretty strong painkiller (hydrocodone
), however, it comes in low dosages for recreational (= euphoric) value and also combined with NSAID's, which further kills the maximum dosage.
vicodin/hydrocodone and tramadol do only have in common that they're opiods and share some basic opiod qualities. other than that, they are in no way the same drug.
if you actually need the opiods for real pain killing and not mainly for euphoria
(trust SWIH, as you're taking your pain killers daily, the euphoria diminishes VERY quickly!), start out low.
the "I do not know anything about pain killers" attitude can work well. SWIH did another route, started a pain diary and informed himself alot in the internet and bought himself professional books about medicine study, and taking the diary and those books to his doc
. SWIH talked out with his doc which would be the best pain killer and also they set up a plan on dosage, renewing prescriptions and that.
Also, SWIH was honest to him and was willing to try out different strategies. Actually his doc pointed out that SWIH's suggestion of acupuncture (something the doc would actually get more money directly from!) was not that good as SWIH does not have a type of chronic pain which usually doesn't responds well to acupuncture.
also, SWIH's doc was responsible enough to prescibe SWIH opiods from the lower end of strength to swap it out for SWIH's daily usage of several grams of ibuprofen and metamizole as SWIH had not that good kidneys and the stomach was damaged as well.
His doctor pointed out that addiction
is not an issue in responsible patients which do need it to manage pain. Do not start thinking that addiction and dependence are the same.
A good MD can tell you the difference without even needing to think about. Dependence is NOT an issue as there are good ways out of it.
Find a responsible MD which has at least some qualification in pain managment and is willing to actually work WITH you and not AGAINST your health just to calm his conscience out of an unjustified prejudice of opioids caused by lack of knowledge. Unfortunately, these are the minority of docs, and, despite the drug politics having the most guilt in this, drug seeking behaviour of a lot of people made it's part in this as well.