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Thread: Tramadol: State-by-state regulations

  1. #1

    Default Tramadol: State-by-state regulations

    Tramadol is not a controlled substance except for in Arkansas and Kentucky. (It's a schedule 4 controlled substance there). Since 2008 it also can't be dispensed legally on army bases.

    If you try to buy tramadol from an international pharmacy it should be as easy as buying any other non-controlled medicine, such as advil.

    But if you live in Arkansas or Kentucky and try to buy from an online pharmacy based in the US they will probably refuse to sell it to you.
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  2. #2
    Wow, I'm surprised it is scheduled the way it is, although I guess that is a good thing for those who need pain relief as tramadol works well for moderate pain, much better than over-the-counter meds anyways.

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    The government has a simple rule to decide if a medicine or substance should be restricted from the public. If it makes you feel good it's either prescription only or scheduled. If it makes you feel really good it may be schedule 1 or they crack down on it. Addiction is just the excuse they use. Marijuana for example is not addictive and has many medical uses but is schedule 1.
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  4. #4
    For scheduled prescription drugs, that is a pretty factual definition. It's a subjective rating system about medications that have abuse potential.
    For prescription only drugs, however, it is not.
    It is typically the relative potential for serious side-effects related to dosage that defines the requirement for a doctor issued prescription.
    I don't think prescription only drugs like antibiotics, statins, insulin, blood pressure meds, etc. would be defined as "making you feel really good."
    And when the DEA schedules drugs, they don't list them using their potential for addiction and abuse as an "excuse." That is exactly the reason each substance is scheduled.
    Doesn't mean the DEA hasn't come up with some goofy anomolies, however. I've never figured out the Fiorinal/Fioricet difference.
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  5. #5
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    @drboris Ain't it controlled in Louisiana?

  6. #6
    I'm sure that @drboris will also answer, however, as recently as February of this year, Louisiana has passed legislation identifying tramadol as a "prescription drug with a potential for abuse" but has not officially added it to their state scheduled substances list yet as far as I know.
    Not sure what the subtle distinction really is.

  7. #7
    @alumni thanks for the info. I'll try to keep an eye on that and update this thread if it becomes controlled there.

  8. #8
    tramadol does work better than otc meds and even makes you feel good but it has a ceiling I think, but higher doses and seizures can be an issue so there's no point to overdo it.
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    Quote Originally Posted by CPain7 View Post
    tramadol does work better than otc meds and even makes you feel good but it has a ceiling I think, but higher doses and seizures can be an issue so there's no point to overdo it.
    @CPain7

    Ok, I am glad someone started the debate about all the legal stuff with Tramadol.

    Tramadol has the potential for abuse, for sure.
    (Most people who are going to abuse prescription drugs have or will try to abuse Tramadol at some point - especially those who do opiates or opioids for their high...)
    I used to take the strongest of the strong opioids for my chronic pain.
    Tramadol did nothing for my pain, but kept back withdrawals from opioids.
    Once I got my tolerance as close to 'opiate-naive' as possible(as long as I could stand...); detoxing from all opioids for about 4 months.
    It was only then that Tramadol workedFINALLY! SOMETHING! for my pain.
    It was also then that I found out that the SNRI effect of Tramadol, combined with the mild opioid effects, was the best solution thus far for my specific type of pain.
    I am diagnosed with herniated discs, some abnormal structures like bone protrusions, and SOME nerve impingement and damage.
    I am definitely in need of another MRI - no doubt about it, as these were done years ago - and I have new pain in new spots, and when not on my Tramadol - the pain has gotten worse.

    So, I figure it works best for my pain because my pain SEEMS to be MOSTLY nerve pain, or neuropathy\neuralgia.
    I will tell you though that I was not given THAT diagnosis, this is only my opinion from the past treatments, and research I have done regarding my CONSTANT pain. I still get the ol' disc pain and hip joint\ligament\muscle anything-but-nerve pains that aren't due to nerve damage - that I am sure of.

    Anyway, Tramadol is not a scheduled drug in the US.
    In most countries it is over the counter.
    The DEA DID put Tramadol on it's list of chemicals of concern, for abuse potential - and rising evidence of it.
    This, in my opinion, is mostly due to people trying to 'get around' the Haight act, AND the increasing amount of people in the health care profession getting 'hooked on Tramadol'. This brings a lot of attention to things, especially with the doctors and nurses, as nurse practitioners COULD write these scripts without doctor approval (I do believe? correct me if I am wrong - I do know that they are not on the list of drugs they can write here in Ohio - they can only with doctor approval\sign-off ---- which is basically the doctor writing it anyway---).

    I am dependent on Tramadol.
    I am not addicted to Tramadol.

    I was dependent and then addicted to morphine, years ago.

    I am very aware of the difference, and there IS a difference!

    I 'need my Tramadol' in order to function a more normal life.

    I 'needed my Morphine' to first, stop withdrawal, second, to kill my pain, and finally to get high as a kite.
    It took a lot of morphine to do that.
    Killing the pain ate up most of that, since my tolerance was so high from getting high off it - that I would have to take a major 'loading dose' to even kill all the pain that used to be taken care of with 30mg er - now it was 10x that instant release, and eventually up to 100mg IV at once.

    Tramadol does have a 'ceiling' effect for anyone who can get a buzz off it.

    When I first took it, I found that it elevated my mood (due to mostly SNR-Inhibition).
    Unlike pure SNRI's, I also found that I could relax and fall asleep much easier than if I were on nothing, and was not in pain. (Very rare, I might add.)

    The combo of the two, as two different entities - such as if I took Vicodin (generally thought of as stronger than Tramadol-both as painkilling potential, and for opioid action. [There is also a difference, as I stated the SNRI effects seem to increase analgesia.])
    ... If I took Vicodin, and say Cymbalta - at 'similar' doses to the Tramadol - I would not get the same effect.
    It seems to be much more effective and efficient in Tramadol.

    Also, it should be noted that Tramadol is a very unique drug.
    There are others 'related' to it - but none of them have both CNS actions.

    Analgesia with opiates or opioids has always had the problem of people being able to 'get high' on them, and Tramadol is no exception.
    The difference with Tramadol though, is that for most people who get high on opioids to begin with, Tramadol will do nothing but keep withdrawals away for a bit longer than cold-turkey, or for some people; even throw them into withdrawals. Why? I don't know. Everyone is different, and Tramadol is a unique drug as I said.

    It should also be noted that not everyone has the ability to efficiently transform Tramadol into O-Desmethyltramadol, the more potent and active metabolite of Tramadol.

    This is kind of the same thing as codeine, as some people - and races (which means this is a genetic issue, dealing mostly with specific liver enzymes - I forget which ones exactly for the codeine : morphine metabolism in the liver) are not able to get 'much' off of codeine, either as an analgesic, or as a recreational drug - While others, are more than satisfied as an analgesic - and even some still - satisfied as a recreational drug.

    The people that have gone from buying OxyContin and Morphine online, to buying Tramadol and Soma to get high - have probably made these two drugs more available for legitimate pain patients, and recreational users alike.

    I am not against recreational drug use.

    I am against it when it is under the guise of 'medical necessity' or 'medical care'.

    It is not for me to judge which one you are, as I wouldn't want to be judged either... Because, I have been deemed both - by doctors, friends, family, etc... both when I was an addict\recreational user - and recently now that I am not. (I do not use any drugs other than Tramadol and tobacco. I have used many many drugs before, and have pretty much "seen" all I wanna see... )

    I just wanted to give my input on this, and hopefully answer any questions before they were asked - because I try my best to help others - and help myself by learning about my condition(s) and my medications. (Yes, I was originally put on Tramadol by my local doctor - but due to recent issues with losing work, and the fact that it cost me 3x as much to see my doctor than to buy through domestic OP's... I still go that route... as I know many of you do too... and yes, it actually is cheaper for me -RIGHT NOW-.)

    Sorry for all the BBCode - but I just wanted to elaborate on what makes Tramadol so unique - THE SNRI EFFECT WITH OPIOID EFFECT!

    There is still a lot for me and everyone else to learn about it, and there are synthesized O-Desmethyltramadol products out there - but are strictly research, and not in any type of medication or anything...
    Probably could one day be a good drug if research shows promise, but the way it is right now - you shouldn't really mess with it unless you're a REAL RESEARCHER! (Research doesn't always necessarily require a spectrometer and centrifuge and all those expensive goodies... but sure does help... for your actual research, and your reputation--heh --- )

    Anywhoooooo - hope we can keep this discussion going - and KEEP TRAMADOL AVAILABLE TO THOSE WHO NEED IT - WITHOUT MAKING US A SLAVE TO A DRUG OR A HORRIBLE 'SYSTEM'!!!!!
    I would be outraged if they 'pulled' Tramadol.
    If they schedule it, and other things stay as they are - I will have just as hard of a time getting it as others - but as it stands - I have a much easier time, and less hoops to jump through, and less 'proving' myself, than say Vicodin, or Oxycodone ---- I can get those, but why would I? They don't work half as good, I only need that stuff when I have my disc pain - and even then - it has to be bad... other than that, I have no need unless I ran out of Tramadol! Then I might need something like that as a 'loading dose' - or for breakthrough pain once in a while (pretty rare now...)
    Not to mention, if I take it as anything other than how I just said - it causes me to start thinking like an addict again - especially Oxycodone... - you know, that whole "Eh, say's take 5-10mg Oxycodone as needed every 6 hours... well, I will just do 10 every 4 hours..."
    Next it's "Well, I guess I will take 20mg every 3 hours..."
    Then it's "**** it mannnn, might as well do a 'CWE'!"
    THEN - it's only a week into your month long rx - and you're eating your last 8 percocet at once...

    So, if I can avoid all that bullshit - I will.

    Thank you Tramadol!
    Stay legal, please?

    -nwoh


    P.S. - Please, if anyone has anything to add\respond to or correct or ask or whatever... I encourage you to please do so! & quote me and "@me" if you do... I'd like to keep the thread going, and am curious to everyone else's experiences with Tramadol - and it's legality....
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  10. #10
    A couple of minor points.
    An SNRI doesn't "inhibit" norepinephrine production, it inhibits the re-uptake of it thus extending its effect.
    Tramadol, on the other hand, has been shown to increase the levels of serotonin in the brain. A unique combination of action.
    Also, I have never seen a case of tramadol throwing someone into precipitated withdrawal. In a heavy opioid user, it might not be strong enough to stop withdrawals though.
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  11. #11
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    Quote Originally Posted by alumni View Post
    A couple of minor points.
    An SNRI doesn't "inhibit" norepinephrine production, it inhibits the re-uptake of it thus extending its effect.
    Tramadol, on the other hand, has been shown to increase the levels of serotonin in the brain. A unique combination of action.
    Also, I have never seen a case of tramadol throwing someone into precipitated withdrawal. In a heavy opioid user, it might not be strong enough to stop withdrawals though.
    @alumni
    I don't think I said anywhere it inhibits it, only that it inhibits reuptake which basically means it 'soaks' longer... before moving on...

    Also, I have never seen it throw people into withdrawals - I am only stating that from anecdotal reports I have read in the past. People claim it all the time.

  12. #12
    so whats a good brand of tramadol? is there one brand out there head and shoulders above the rest? are the ones with apap (such as ultracet) typically cheaper per mg. I felt good from a 150 mg tramadol years ago. klonopins might be good with them as far as raising your seizure threshold

    one thing though is I couldn't feel the effects from the hydrocodone I was taking around the same time for 1 or 2 days. almost like the tramadol blocked the effects of the hydro

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    It's a no go in nv to. @CPain7 I think there's something to the tram vs hydro thing as if I take a hydro after I feel zip. Or rather, only partial zip.

    Maybe it's b/c of the binding to receptors? Perhaps tramadol binds & leaves no room for hydro? You should ask that question in a different thread. I'm a bit to shy to start one of my own but I bet someone would know the answer.
    Last edited by Bananastickers; 05-20-2011 at 03:04 AM.

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    Alumni, you are correct in that blood pressure medications and antibiotics etc do not make you feel good. I was being slightly sarcastic and yet what i said is true in many cases. The things you mention are, as far as i know, prescription only but not scheduled. Scheduled means they can arrest you for improperly obtaining or even possessing them. A non scheduled prescription drug is not a criminal offense to possess, it's just hard to get. Someone correct me if i'm wrong about that because i don't want to give wrong advice.

    nwoh, i too have nerve pain though not as bad as what you speak of. I'm not sure if tramadol is for me. Have you tried neurontin or oxcarbazapine? Those are for nerve pain, there are some others too which i use and which help somewhat. I use them also for getting to sleep, 2 birds with 1 stone. The oxcarb also reduces appetite which is nice.
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  15. #15
    It is a criminal offense to sell, attempt to obtain, purchase or possess an unscheduled prescription drug without evidence of a valid prescription in the US.
    An example would be possession of an uncontrolled drug such as Viagra in a container other than the original with the pharmacy name and information regarding the prescribing physician. Google Louis Murphy for a recent arrest.
    Valid prescription required means valid prescription required regardless of scheduled or unscheduled.

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    Quote Originally Posted by nwoh View Post
    @CPain7

    Ok, I am glad someone started the debate about all the legal stuff with Tramadol.

    Tramadol has the potential for abuse, for sure.
    (Most people who are going to abuse prescription drugs have or will try to abuse Tramadol at some point - especially those who do opiates or opioids for their high...)
    I used to take the strongest of the strong opioids for my chronic pain.
    Tramadol did nothing for my pain, but kept back withdrawals from opioids.
    Once I got my tolerance as close to 'opiate-naive' as possible(as long as I could stand...); detoxing from all opioids for about 4 months.
    It was only then that Tramadol workedFINALLY! SOMETHING! for my pain.
    It was also then that I found out that the SNRI effect of Tramadol, combined with the mild opioid effects, was the best solution thus far for my specific type of pain.
    I am diagnosed with herniated discs, some abnormal structures like bone protrusions, and SOME nerve impingement and damage.
    I am definitely in need of another MRI - no doubt about it, as these were done years ago - and I have new pain in new spots, and when not on my Tramadol - the pain has gotten worse.

    So, I figure it works best for my pain because my pain SEEMS to be MOSTLY nerve pain, or neuropathy\neuralgia.
    I will tell you though that I was not given THAT diagnosis, this is only my opinion from the past treatments, and research I have done regarding my CONSTANT pain. I still get the ol' disc pain and hip joint\ligament\muscle anything-but-nerve pains that aren't due to nerve damage - that I am sure of.

    Anyway, Tramadol is not a scheduled drug in the US.
    In most countries it is over the counter.
    The DEA DID put Tramadol on it's list of chemicals of concern, for abuse potential - and rising evidence of it.
    This, in my opinion, is mostly due to people trying to 'get around' the Haight act, AND the increasing amount of people in the health care profession getting 'hooked on Tramadol'. This brings a lot of attention to things, especially with the doctors and nurses, as nurse practitioners COULD write these scripts without doctor approval (I do believe? correct me if I am wrong - I do know that they are not on the list of drugs they can write here in Ohio - they can only with doctor approval\sign-off ---- which is basically the doctor writing it anyway---).

    I am dependent on Tramadol.
    I am not addicted to Tramadol.

    I was dependent and then addicted to morphine, years ago.

    I am very aware of the difference, and there IS a difference!

    I 'need my Tramadol' in order to function a more normal life.

    I 'needed my Morphine' to first, stop withdrawal, second, to kill my pain, and finally to get high as a kite.
    It took a lot of morphine to do that.
    Killing the pain ate up most of that, since my tolerance was so high from getting high off it - that I would have to take a major 'loading dose' to even kill all the pain that used to be taken care of with 30mg er - now it was 10x that instant release, and eventually up to 100mg IV at once.

    Tramadol does have a 'ceiling' effect for anyone who can get a buzz off it.

    When I first took it, I found that it elevated my mood (due to mostly SNR-Inhibition).
    Unlike pure SNRI's, I also found that I could relax and fall asleep much easier than if I were on nothing, and was not in pain. (Very rare, I might add.)

    The combo of the two, as two different entities - such as if I took Vicodin (generally thought of as stronger than Tramadol-both as painkilling potential, and for opioid action. [There is also a difference, as I stated the SNRI effects seem to increase analgesia.])
    ... If I took Vicodin, and say Cymbalta - at 'similar' doses to the Tramadol - I would not get the same effect.
    It seems to be much more effective and efficient in Tramadol.

    Also, it should be noted that Tramadol is a very unique drug.
    There are others 'related' to it - but none of them have both CNS actions.

    Analgesia with opiates or opioids has always had the problem of people being able to 'get high' on them, and Tramadol is no exception.
    The difference with Tramadol though, is that for most people who get high on opioids to begin with, Tramadol will do nothing but keep withdrawals away for a bit longer than cold-turkey, or for some people; even throw them into withdrawals. Why? I don't know. Everyone is different, and Tramadol is a unique drug as I said.

    It should also be noted that not everyone has the ability to efficiently transform Tramadol into O-Desmethyltramadol, the more potent and active metabolite of Tramadol.

    This is kind of the same thing as codeine, as some people - and races (which means this is a genetic issue, dealing mostly with specific liver enzymes - I forget which ones exactly for the codeine : morphine metabolism in the liver) are not able to get 'much' off of codeine, either as an analgesic, or as a recreational drug - While others, are more than satisfied as an analgesic - and even some still - satisfied as a recreational drug.

    The people that have gone from buying OxyContin and Morphine online, to buying Tramadol and Soma to get high - have probably made these two drugs more available for legitimate pain patients, and recreational users alike.

    I am not against recreational drug use.

    I am against it when it is under the guise of 'medical necessity' or 'medical care'.

    It is not for me to judge which one you are, as I wouldn't want to be judged either... Because, I have been deemed both - by doctors, friends, family, etc... both when I was an addict\recreational user - and recently now that I am not. (I do not use any drugs other than Tramadol and tobacco. I have used many many drugs before, and have pretty much "seen" all I wanna see... )

    I just wanted to give my input on this, and hopefully answer any questions before they were asked - because I try my best to help others - and help myself by learning about my condition(s) and my medications. (Yes, I was originally put on Tramadol by my local doctor - but due to recent issues with losing work, and the fact that it cost me 3x as much to see my doctor than to buy through domestic OP's... I still go that route... as I know many of you do too... and yes, it actually is cheaper for me -RIGHT NOW-.)

    Sorry for all the BBCode - but I just wanted to elaborate on what makes Tramadol so unique - THE SNRI EFFECT WITH OPIOID EFFECT!

    There is still a lot for me and everyone else to learn about it, and there are synthesized O-Desmethyltramadol products out there - but are strictly research, and not in any type of medication or anything...
    Probably could one day be a good drug if research shows promise, but the way it is right now - you shouldn't really mess with it unless you're a REAL RESEARCHER! (Research doesn't always necessarily require a spectrometer and centrifuge and all those expensive goodies... but sure does help... for your actual research, and your reputation--heh --- )

    Anywhoooooo - hope we can keep this discussion going - and KEEP TRAMADOL AVAILABLE TO THOSE WHO NEED IT - WITHOUT MAKING US A SLAVE TO A DRUG OR A HORRIBLE 'SYSTEM'!!!!!
    I would be outraged if they 'pulled' Tramadol.
    If they schedule it, and other things stay as they are - I will have just as hard of a time getting it as others - but as it stands - I have a much easier time, and less hoops to jump through, and less 'proving' myself, than say Vicodin, or Oxycodone ---- I can get those, but why would I? They don't work half as good, I only need that stuff when I have my disc pain - and even then - it has to be bad... other than that, I have no need unless I ran out of Tramadol! Then I might need something like that as a 'loading dose' - or for breakthrough pain once in a while (pretty rare now...)
    Not to mention, if I take it as anything other than how I just said - it causes me to start thinking like an addict again - especially Oxycodone... - you know, that whole "Eh, say's take 5-10mg Oxycodone as needed every 6 hours... well, I will just do 10 every 4 hours..."
    Next it's "Well, I guess I will take 20mg every 3 hours..."
    Then it's "**** it mannnn, might as well do a 'CWE'!"
    THEN - it's only a week into your month long rx - and you're eating your last 8 percocet at once...

    So, if I can avoid all that bullshit - I will.

    Thank you Tramadol!
    Stay legal, please?

    -nwoh


    P.S. - Please, if anyone has anything to add\respond to or correct or ask or whatever... I encourage you to please do so! & quote me and "@me" if you do... I'd like to keep the thread going, and am curious to everyone else's experiences with Tramadol - and it's legality....
    I just wanted to say thanks for this post. You answered a lot of questions I had regarding this drug. I have a script that doesnt seem to work for my pain. I think I will look into seeing if I can get it changed because of this.
    Like jacstimes liked this post

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    Quote Originally Posted by danmarti View Post
    I just wanted to say thanks for this post. You answered a lot of questions I had regarding this drug. I have a script that doesnt seem to work for my pain. I think I will look into seeing if I can get it changed because of this.
    @danmarti

    By no means am I saying it will work for you, nor am I 'Shilling' for Amneal (seem to be the biggest generic maker of Tramadol) or Grunenthal (The original 'maker') or for anyone that sells it or prescribes it...

    I just know that I have taken so many different medications for my pain, and this one RIGHT NOW is the best working for me.

    I tell ya though, the only way to do it is to be under the care of a LOCAL doctor. Just so that you have everything 'on the up&up' if something happens!
    (Some people cannot or should not take it due to lowered seizure threshold, and others just react differently than the "norm"!)

    Just as with any drug, medically used or recreationally used - you should really learn as much as you can about it BEFORE taking it - not after you have taken it and start seeing the side effects...

    Hope that helps, and hope you find a solution!
    Last edited by nwoh; 05-23-2011 at 06:56 PM. Reason: Typo
    Helpful danmarti Rated helpful

  18. Does anyone know what the scheduling of tramadol is in Massachusetts? From what I understand it's "grey-market", but I have no idea what that actually means

  19. #19
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    @Polier12 "Some of the most common things, which happen in grey markets, are where individuals find a chance to purchase bulk items at a relatively inexpensive rate. Then, they find a target market to sell these products too—a market, which does not have these items and a market where they can sell the products at high prices because no one else supplies said items. Again, these are legal items."(business.com)

    It is a class E substance in Mass. possession by a person other than the prescription holder can result in arrest or prosecution.

  20. #20
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    I have ordered Tramadol and it works for my pain while giving me a kick in the pants. However, one day I was having breakout pain and took too many Trams.....I woke up in the hospital. I think I took 12 pills that day, though I can't exactly rememeber.

    I live in Calif so I had not problem getting in online.


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