Tramadol functions as an opioid analgesic. It's a painkiller. It releases opioids such as endorphins into the user. Dependency to the drug can cause lifelong addiction. It's known by its market name "Ultracet" and "UltramER." When it's mixed with Acetaminophen, it becomes "Tylenol."

Many addicts throughout the Middle East have started to abuse tramadol. The National UAE reported that tramadol has emerged as a drug of choice in the country. The news agency also quoted the director of the National Rehabilitation centre.  He was reported to have said that 240 out of 400 patients are abusing this drug. That's about more than half of the addicts in treatment. For more information on the news item by The National UAE, click here.

Also, according to Arab News, Saudi customs apprehended a passenger in 2016. This happened at Yanbu airport.  He was reported to have 7,050 tramadol pills in his keeping. It was hidden inside frozen meat. The news agency reported that proper procedures have been taken against the passenger. For more information, read the news item here.

Why the abuse? Many addicts in the region state that it's because Tramadol is easy to find. What's more, it's readily available for consumption. Also, as a legitimate medicine, it's not considered an illegal drug. It has less dire consequences than taking hard drugs like heroin or marijuana.



At Solace Sabah, our patients will get proper treatment for tramadol. Withdrawals can be a difficult time for addicts because the effects of abuse are nasty. The body has been overwhelmed by the abuse of tramadol. It will take time to recover from the dependency. We’ve written an article about why you shouldn’t withdraw from tramadol on your own. Take a look at it by clicking on: “Why stopping tramadol at home is not a good idea”, for more information.

But, we make this process painless for our clients. It's because we practice medical detoxification. At Solace Sabah, our clients are taken to Kota Kinabalu's premier hospital. There, we have employed professional doctors and medical staff to take care of you. Our detoxification procedures follow TIP45. This is approved by SAMHSA. It's an internationally recognised procedure. You or a loved one will receive detoxification on par with worldwide standards.

Link with the aforesaid article



The tramadol may be out of your system after detoxification. But, for the addiction, you will need treatment. At Solace Sabah, we treat addiction to tramadol through a holistic process.

We target the addiction from all angles. Leaving nothing out. We call this model the "Biopsychosociospiritual" model of treatment. Using this model, clients will get therapy for their psychological issues. Medicines, physical fitness, and proper nutritional training will help you physically.  Peer support and feedback will form the social element. Finally, the spiritual part will be the process of individual change.

Treatment will include various therapies such as CBT and DBT. CBT (Cognitive Behavioural Therapy) targets feelings, and behaviours, as well as thoughts. It helps to change unhelpful thoughts through providing helpful solutions. Whereas DBT (Dialectical Behavioural Therapy) targets unhealthy behaviours in our clients.

All this will be conducted by our professional clinicians. They are from the U.K., U.S., South Africa, and Europe. They've had experience and high-quality training in addiction treatment.

What's more, we will also take you on fun outings and adventures. Our staff are passionate about your well-being. You will be looked after well. In the process, you will learn how to live life, tramadol-free.

At the end of your time with us, we have a comprehensive 18-months' aftercare program, free of charge. We care about your continual care as addiction is a chronic disease. For further information, call us. We will always be glad to help you.



As an opiate, tramadol influences the opioid receptors in the brain. It reacts on the monoamine reuptake system and the central nervous system. Tramadol does all this to stop pain and increase the feelings of calm and relaxation among its users. Over time, tramadol usage will turn to addiction. This will happen once the addict has lost normal functioning as a result of its repetitive use. 

Hence, tramadol has withdrawal symptoms because the brain gets affected by overdosage. In tramadol addicts, the brain is unable to function without the drug. This is what makes withdrawals an unpleasant experience.

The symptoms of withdrawing from tramadol are unpleasant due to two factors. The first is the cessation of a pleasure giving drug. Once the source of pleasure is no more, pain will come to replace the pleasure felt.

Second, is the fact that tramadol has actually blocked natural pleasure neurotransmitters. These neurotransmitters like serotonin and norepinephrine will take time to re-function. The gap between the removal of synthetic pleasure to gaining the natural, will cause pain.

But, withdrawals do not need to be that painful. At Solace Sabah, we have ways of treating these symptoms in our very own medical detox process. We've written about it in our Solace article titled: "Why stopping tramadol at home is not a good idea." Read more about it, by clicking here.

Link with "Why stopping tramadol at home is not a good idea," article.

There are two forms of withdrawals that addicts of tramadol may face after stopping the drug. These two types of withdrawals are a result of the two factors discussed earlier. The first type of withdrawal is the "Traditional Opioid Withdrawal Syndrome." Whereas, the second type is the "Atypical Opioid Withdrawal Syndrome."

The "Atypical Opioid Withdrawal Syndrome" occurs when withdrawals indirectly affect the neurology. It's not only the lack of stimuli on opioid receptors that gets affected by withdrawals. But, the lack of stimulation in other regions of the brain will affect addicts. It's the result of tramadol's effects of staving the functions of natural neurotransmitters. For example, tramadol withdrawals affect the catecholamine and serotonin receptors.  As a result of this, patients may develop psychosis.

The"Traditional Opioid Withdrawal Syndrome" is closely tied to the removal of opiates. These are direct symptoms experienced by addicts of tramadol in withdrawal. They occur because there is no longer any stimulus in the opioid receptors of the brain. These symptoms are further divided into earlier and later withdrawal symptoms.

The earlier withdrawal symptoms occur when the drug leaves the bloodstream. The symptoms or early withdrawals are as follows:

  • Rhinorrhea or Runny Nose
  • Tearing Up
  • Yawning
  • Sweating
  • Anxiety
  • Insomnia / Trouble Sleeping
  • Hypertension
  • Restlessness
  • Agitation
  • Muscle or Body aches
  • Fast Breathing
  • Fast Heart Rate (Tachycardia)

Next, comes a later stage of withdrawals that occur not long after the early stage. The following symptoms may occur at this stage:

  • Diarrhoea
  • Vomiting
  • Chills and goosebumps
  • Stomach pain and cramping
  • Loss of appetite
  • Pupil dilation
  • Irritability
  • Drug cravings
  • Difficulties concentrating or thinking clearly.
  • Depression
  • Depersonalization - Feelings of sensory and mental detachment. It's as if you are observing yourself from above or in a dream



Detoxification from tramadol happens in stages. It's important to remember that it is a complex and painful process. It's vital to get help when detoxifying from this drug. You can't do it on your own. It's for this reason that addicts need medical facilities for their detoxification.

At Solace Sabah, we run our detox according to the best medical practice. We follow international standards for drug detoxification. Our detox experience is subtle and painless. It's because we follow procedures that are relevant with the timeline in withdrawal.

Tramadol withdrawal begins as soon as the drug leaves the bloodstream. This counts as day 1 of withdrawal. From this day to day 3, patients can expect general withdrawal symptoms. For example, patients may feel tingling, anxiety,  nervousness,  and sweating. In a detox facility such as ours, our medical team will be able to manage these symptoms. They will know how to balance medication with comfort and care.

From days 4 to 7, cravings will persist as will certain physical conditions. For example, insomnia, confusion, and blurred vision. Without proper medical care, addicts will be a danger to themselves and others. Hence, again, the need for proper detoxification.

From days 8 to 14, symptoms such as depression, anxiety, and irrational thinking will occur. It’s important that after a period of detoxification to then, seek treatment for the addiction.

At Solace Sabah, not only do we provide a professional detox, but we treat addiction. Our holistic approach to addiction will tackle the disease from a "Bio-psycho-socio-spiritual" perspective. Treating the root cause of the "tramadol" problem will replace dependency with recovery.

At Solace Sabah, we don't only treat "tramadol" dependency, but we treat the addict away from a life of misery. It's our goal to get you living the life you've always wanted for yourself. A life worthy of you and not one worthy of drugs. For more information, call us. We’re always here to help the addict or a loved one in need.