Ultram Withdrawal Timeline and Symptoms by Time

A-Z visual presentation on ULTRAM withdrawal symptoms.

minute read

What Is Ultram Withdrawal?

Ultram (main ingredient tramadol) is used to treat moderate to severe pain. However, if you use this medication for a period of a few weeks or longer, you may become physically dependent on it. This means that when you cut down the dose or completely stop using Ultram, you can expect to go through withdrawal.

  • BUT, what are Ultram withdrawal symptoms? 
  • How long does the withdrawal period last? 
  • What happens when?

Explore our detailed infographic to find out! If you like it, feel free to use it for your clinical office or share it. The embed code is under the image. And, if you have any questions, leave them in the comment section at the end. We try to respond to all our readers personally and promptly.

Ultram Withdrawal Timeline and Symptoms by Time

Embed this infographic to your website

Ultram Withdrawal Timeline

Ultram withdrawal symptoms usually occur a few hours after the effects of the last dose of Ultram has worn off. Symptoms usually mimic the flu. However, tramadol can trigger a few atypical symptoms, such as psychosis and hallucinations. Paranoia, extreme anxiety, panic attacks, confusion and unusual sensory experiences such as numbness and tingling in one or more extremities may also occur.

NOTE HERE: Tramadol withdrawal is best managed under medical supervision. Always seek medical help when you plan to go through withdrawal from tramadol.

Check out the list below to find all symptoms of Ultram withdrawal with a timeframe of their occurrence:

24-72 hours after the last Ultram intake:

  • Anxiety
  • Cravings
  • Confusion
  • Nervousness
  • Palpitations
  • Pins and needles
  • Serotonin syndrome
  • Sweating

Week 1 Ultram Withdrawal Symptoms:

  • Diarrhea
  • Hallucinations
  • Nausea
  • Numbness
  • Panic attaks
  • Paranoia

Week 2 Ultram Withdrawal Symptoms:

  • Anxiety
  • Blurred vision
  • Cravings
  • Disorientation
  • Dilated pupils
  • Insomnia

Week 3 Ultram Withdrawal Symptoms:

  • Anxiety
  • Depression
  • Insomnia
  • Irrational feelings

Week 4 Ultram Withdrawal Symptoms:

  • Apathy
  • Depression
  • Irritability
  • Feeling better

How Long To Withdrawal From Ultram?

The duration of Ultram withdrawal can last a few days, weeks, and even months. The amount of time it takes to resolve a case of withdrawal depends upon frequency and dosage, as well as an individual’s general health. THe main factors that contribute to how long it takes to withdraw from Ultram include:

  • your age, gender, and weight
  • how long you’ve beeen taking Ultram
  • at what dose you’ve been taking Ultram
  • your individual level of Ultram dependence

Note that chronic Ultram users may experience post acute withdrawal syndrome (PAWS) that can last for longer period of time. These symptoms can take months before they ease. The most common Ultram PAWS include:

  • Anxiety
  • Depression
  • Irritability
  • Nervousness

How can you treat Ultram withdrawal? Again, the safest way to manage Ultram withdrawal is under medical supervision.

Ultram Withdrawal Timeline Questions

Are you or a loved one dealing with Ultram withdrawal? You’re Not Alone. Call 1-877-721-4914 Today to get help ASAP.

This helpline is free, and available any time of the day and the night.

Finally, if you still have questions, please post them in the comments section at the end. We are happy to try to answer your Ultram questions personally and promptly.

Reference sources: NCBI: Psychosis following Tramadol Withdrawal
PubMed: Physical dependence on Ultram (tramadol hydrochloride): both opioid-like and atypical withdrawal symptoms occur
FDA: Ultram
About the author
Lee Weber is a published author, medical writer, and woman in long-term recovery from addiction. Her latest book, The Definitive Guide to Addiction Interventions is set to reach university bookstores in early 2019.
I am ready to call
i Who Answers?