Guest guest Posted February 13, 2011 Report Share Posted February 13, 2011 " orozcomaria39 " wrote: " Hello In response to your message re: Ambien and Ativan. In the LDN.org, there is a Warning for people taking narcotics, while taking LDN, you shouldn't take any narcotic medication or relaxing pill. Read below Cautionary warnings: Because LDN blocks opioid receptors throughout the body for three or four hours, people using medicine that is an opioid agonist, i.e. narcotic medication — such as Ultram (tramadol), morphine, Percocet, Duragesic patch or codeine-containing medication — should not take LDN until such medicine is completely out of one's system. Patients who have become dependant on daily use of narcotic-containing pain medication may require 10 days to 2 weeks of slowly weaning off of such drugs entirely (while first substituting full doses of non-narcotic pain medications) before being able to begin LDN safely. " I had an email discussion off-line from this group about the issue of taking Tramadol while on LDN - I've been taking Tramadol for pain relief for over 3 years because chronic over-use of Ibuprofen was destroying my digestive system. Below is some info I culled from Wikipedia on the pharmacology of how Tramadol, Naltrexone, and it's sister drug Naloxone act in the brain - Tramadol primarily is a μ-opioid receptor agonist, while Naltrexone and Naloxone work on the μ-, δ-, and κ-opioid receptors: " The analgesic action of tramadol has yet to be fully understood, but it is believed to work through modulation of serotonin and norepinephrine in addition to its mild agonism of the μ-opioid receptor. The contribution of non-opioid activity is demonstrated by the fact that the analgesic effect of tramadol is not fully antagonised by the μ-opioid receptor antagonist naloxone. Naloxone is a μ-opioid receptor competitive antagonist, and its rapid blockade of those receptors often produces rapid onset of withdrawal symptoms. Naloxone also has an antagonist action, though with a lower affinity, at κ- and δ-opioid receptors. Naltrexone and its active metabolite 6-β-naltrexol are competitive antagonists at μ- and κ-opioid receptors, and to a lesser extent at δ-opioid receptors. " Before I started taking LDN my doctor warned me that Tramadol may become less effective and/or interact with the LDN in other undesirable ways, and told me not to take any after 5:00 pm to help avoid any problems. Tramadol is metabolized in about 4 hours, my plan was to take my 3 mg LDN dose at 11:00 pm every night, but to be on the safe side I decided to completely eliminate my late afternoon/early evening dose, but that I would continue to take my morning dose as usual. The results? No problems that I can definitely tie to a Tramadol/LDN link, most likely due to the difference in how Tramadol works in the brain as opposed to other opiates (see above Wiki explanation). I don't even consider Tramadol to be in the narcotic/opiate catergory at all because it's so chemically different in molecular terms and method of action, and the FDA agrees - it's not a " controlled substance " like Percocet, for instance. I posted to the group my experience was about how horrible the first few days on LDN were, but thank god the worst appears to be over: I finally had a totally " normal " night of sleep last night, albeit with a bunch of very vivid dreams. Went to bed at midnight, slept straight thru to 8-8:30 am, then dozed to 11:00 am before I finally dragged my butt out of bed. I spent about 5 hours working in my basement workshop yesterday afternoon, I'm a bit tired and sore today, but otherwise okay. Of course my experience with Tramadol and LDN should not be taken as an " all clear " for everyone else, as I've posted before everyone has their own unique physiology, so what's okay for me may not be okay for you. ________________________________________________________________________________\ ____ Need Mail bonding? Go to the Q & A for great tips from Answers users. http://answers./dir/?link=list & sid=396546091 Quote Link to comment Share on other sites More sharing options...
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