{"id":6579,"date":"2021-08-19T06:39:02","date_gmt":"2021-08-19T04:39:02","guid":{"rendered":"https:\/\/www.jurajtabak.com\/?p=6579"},"modified":"2021-09-07T21:04:57","modified_gmt":"2021-09-07T19:04:57","slug":"ako-si-odvyknut-od-tramalu-opioidov","status":"publish","type":"post","link":"https:\/\/www.jurajtabak.com\/sk\/ako-si-odvyknut-od-tramalu-opioidov\/","title":{"rendered":"TRAMAL: m\u00ed\u013eov\u00fd krok k z\u00e1vislosti"},"content":{"rendered":"\n

Tramal <\/em>je liek s \u00fa\u010dinnou l\u00e1tkou tramadol<\/strong>. T\u00e1to l\u00e1tka sa nach\u00e1dza aj v liekoch Tramabene<\/em>, Tralgit<\/em>, Tramal retard activis<\/em>, Mabron<\/em> a mnohe in\u00e9. Tramal sa pou\u017e\u00edva na lie\u010dbu stredne slinej a\u017e silnej bolesti, v\u00e4\u010d\u0161inou po oper\u00e1ci\u00e1ch. Lieky s \u00fa\u010dinnou l\u00e1tkou tramadol patria do skupiny opioidy<\/strong>. Opi\u00e1ty s\u00fa siln\u00e9 lieky na boles\u0165, pri ktor\u00fdch hroz\u00ed ve\u013ek\u00e9 nebezpe\u010denstvo z\u00e1vislosti \u010di u\u017e fyzickej ako aj psychickej.<\/p>\n\n\n\n

S Tramalom sa za\u010dala aj moja z\u00e1vislos\u0165. Lek\u00e1r mi ho predp\u00edsal po tom, ako som si roztrhol rameno. Ne\u0161iel som na oper\u00e1ciu a chcel som \u010do najsk\u00f4r znova tr\u00e9nova\u0165. Tramal mi bol predpisovan\u00fd cca rok, av\u0161ak po ukon\u010den\u00ed lie\u010dby, som nemohol presta\u0165. Bol som u\u017e ve\u013emi silno psychicky aj fyzicky (telesne) z\u00e1visl\u00fd. Ja sa v \u017eiadnom pr\u00edpade nechcem vyhov\u00e1ra\u0165, beriem za moju z\u00e1vislos\u0165 pln\u00fa zodpovednos\u0165. Av\u0161ak Tramal je liek presne z tej skupiny, ktor\u00e9 n\u00e1s nemaj\u00fa vylie\u010di\u0165, maxim\u00e1lne otupi\u0165 boles\u0165 a nelie\u010di\u0165 pr\u00ed\u010dinu probl\u00e9mu, ale don\u00fati\u0165 n\u00e1s, aby sme chceli \u010fal\u0161ie a \u010fal\u0161ie lieky. A tento \u201enekon\u010diaci koloto\u010d\u201c je najlep\u0161\u00ed pre biznis. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Epileptick\u00e9 z\u00e1chvaty z opioidov<\/strong><\/p>\n\n\n\n

Asi najhor\u0161ie, \u010do sa v\u00e1m s Tramalom m\u00f4\u017ee sta\u0165 je epileptick\u00fd z\u00e1chvat. Neminul ani m\u0148a. Jedn\u00e9ho d\u0148a som si dal liek Tralgit (liek patriaci do rovnakej skupiny, spom\u00ednan\u00fd vy\u0161\u0161ie v \u010dl\u00e1nku), bolo mi z neho skvele, ale zrazu som sa prebral na zemi, ako na m\u0148a kri\u010d\u00ed otec. \u201eDostal si z\u00e1chvat!\u201c A ja som nevedel, kto to je. Nevedel som, kde som. Ale najhor\u0161ie je nevedel som ani, kto som. Cel\u00e9 to trvalo p\u00e1r min\u00fat, ale pre m\u0148a to bolo ako ve\u010dnos\u0165. Stra\u0161ne som sa b\u00e1l sani\u0165\u00e1kov, nevedel som, \u010do chc\u00fa so mnou robi\u0165. A najhor\u0161\u00ed pocit bol ve\u010der, ke\u010f som mal zaspa\u0165 a hlavou mi behalo len to, \u017ee t\u00fdm, \u017ee som bral Tralgit a Tramal som si sp\u00f4sobil epilepsiu. Myslel som si, \u017ee u\u017e ju budem ma\u0165 dokonca \u017eivota. Na\u0161\u0165astie to bol len vyprovokovan\u00fd z\u00e1chvat a epilepsiu nem\u00e1m. Ale nikdy na to nezabudnem. Bol to jeden z mojich najhor\u0161\u00edch z\u00e1\u017eitkov. <\/p>\n\n\n\n

To, \u017ee dostanete epileptick\u00fd z\u00e1chvat e\u0161te neznamen\u00e1, \u017ee m\u00e1te epilepsiu. Z\u00e1chvat m\u00f4\u017eete dosta\u0165, aj ke\u010f viacero dn\u00ed po sebe pijete alkohol, a dokonca, aj ke\u010f dlh\u0161ie pijete a naraz prestanete. To ist\u00e9 plat\u00ed pri Tramale. Nepr\u00edjemn\u00e9 na tom je, \u017ee ke\u010f sa aj rozhodnete presta\u0165, tak v\u00e1s ako prv\u00fd, vo va\u0161ej ceste za triezvos\u0165ou, m\u00f4\u017ee stretn\u00fa\u0165 epileptick\u00fd z\u00e1chvat. Preto je potrebn\u00e9 Tramal vysadzova\u0165 postupne. A samozrejme, je najlep\u0161ie \u00eds\u0165 za neurol\u00f3gom, ktor\u00fd by v\u00e1s mal posla\u0165 na testy EEG. Ale ani tie nie s\u00fa stopercentn\u00e9. M\u00f4\u017ee v\u00e1m vyjs\u0165, \u017ee m\u00e1te epileptick\u00e9 lo\u017eisko, aj ke\u010f v skuto\u010dnosti epilepsiu nem\u00e1te. Toto lo\u017eisko sa vo v\u00fdsledkoch m\u00f4\u017ee do\u010dasne objavi\u0165 po vyprovokovanom z\u00e1chvate z liekov.<\/p>\n\n\n\n

Taktie\u017e si pam\u00e4t\u00e1m, \u017ee som si myslel, \u017ee u\u017e\u00edvan\u00edm Tramalu nerob\u00edm ni\u010d zl\u00e9. Ve\u010f predsa len, beriem lieky. Neberiem drogy, a keby som chcel presta\u0165, ur\u010dite sa mi to okam\u017eite podar\u00ed! <\/p>\n\n\n\n

Jedn\u00e9ho ve\u010dera som sedel v bare s kamar\u00e1tom, ktor\u00fd mi asi jedin\u00fd ne\u0165ahal medov\u00e9 mot\u00fazy pod nos a zrazu ma chytil za ruku, pozrel sa mi uprene do o\u010d\u00ed a povedal: \u201e\u010euri, ty berie\u0161 drogy!\u201c  Nep\u00fdtal sa ma to, proste mi to ozn\u00e1mil. A vtedy mi do\u0161lo, \u017ee to je na mne vidno a ni\u010d u\u017e nie je tak\u00e9, ako bolo predt\u00fdm. Nesk\u00f4r mi dodal, \u017ee to je na mne vidno, lebo sa aj trasiem. <\/p>\n\n\n\n

Siln\u00e1 psychick\u00e1 aj fyzick\u00e1 z\u00e1vislos\u0165<\/strong><\/p>\n\n\n\n

Najv\u00e4\u010d\u0161\u00ed probl\u00e9m na Tramadole je, \u017ee u\u017e po mesiaci u\u017e\u00edvania sa m\u00f4\u017eete sta\u0165 z\u00e1visl\u00fd. Vysadenie Tramalu sp\u00f4sobuje siln\u00e9 psychick\u00e9 aj fyzick\u00e9 abs\u0165\u00e1ky (abstinen\u010dn\u00e9 pr\u00edznaky), ktor\u00fdmi som si prech\u00e1dzal znovu a znovu pri ka\u017edom pokuse o vysadenie aj ja. Objavia sa v\u00e4\u010d\u0161inou 12 \u2013 20 hod\u00edn od poslednej d\u00e1vky. Hna\u010dka (preto lebo opi\u00e1ty sp\u00f4sobuj\u00fa z\u00e1pchu a po ich vysaden\u00ed sa dostav\u00ed hna\u010dka), vracanie, nervozita, \u00fazkos\u0165, obavy, siln\u00fd craving (siln\u00e9 ba\u017eenie po l\u00e1tke, od ktorej si odvyk\u00e1te), a ja osobne som mal aj siln\u00e9 k\u0155\u010de v tele, najm\u00e4 pod kolenami. A samozrejme, som nemohol spa\u0165 cel\u00e9 noci, len som le\u017eal sch\u00falen\u00fd v posteli a triaslo ma. Mal som zmeny teploty od hor\u00fa\u010davy po zimnicu. <\/p>\n\n\n\n

Abstinen\u010dn\u00e9 pr\u00edznaky:<\/strong><\/p>\n\n\n\n

  • N\u00e1valy tepla<\/strong><\/li>
  • Zimnica<\/strong><\/li>
  • Hna\u010dka<\/strong><\/li>
  • Nervozita<\/strong><\/li>
  • K\u0155\u010de v tele, najm\u00e4 pod kolenami<\/strong><\/li>
  • \u00dazkos\u0165<\/strong><\/li>
  • Cravingy<\/strong><\/li><\/ul>\n\n\n\n

    Ot\u00e1zne je ale, ako sa od neho odvyk\u00e1? Nebojte sa, pre\u0161iel som si u\u017e v\u0161etk\u00fdm a v odvykan\u00ed od liekov som macher \ud83d\ude0a. Tak \u010d\u00edtajte \u010falej.<\/p>\n\n\n\n

    Existuj\u00fa 4 sp\u00f4soby odvykania od tramadolu: <\/strong><\/p>\n\n\n\n

    • Tapering off<\/strong><\/li>
    • Cold turkey<\/strong><\/li>
    • Substitu\u010dn\u00e1 lie\u010dba<\/strong><\/li>
    • Podporn\u00e1 lie\u010dba<\/strong><\/li><\/ul>\n\n\n\n

      Tapering off<\/strong><\/p>\n\n\n\n

      Tapering off<\/em> je anglick\u00fd n\u00e1zov pre postupn\u00e9 vysadzovanie d\u00e1vky. Aj pri z\u00e1vislosti od Tramalu sa d\u00e1 vyu\u017ei\u0165 t\u00e1to mo\u017enos\u0165. Ja osobne ju pova\u017eujem za najlep\u0161iu zo v\u0161etk\u00fdch. Samozrejme, \u010do p\u00ed\u0161em, je len moja sk\u00fasenos\u0165, ktorou som si pre\u0161iel a vedomosti, ktor\u00e9 som si za tie roky na\u0161tudoval. Pri Taperingu sa vysadzuje minim\u00e1lna d\u00e1vka v ur\u010dit\u00fdch \u010dasov\u00fdch intervaloch. Takisto pri vysadzovan\u00ed z\u00e1vis\u00ed aj, \u010di ste Tramadol u\u017e\u00edvali krat\u0161ie alebo dlh\u0161ie.<\/p>\n\n\n\n

      Pri kr\u00e1tkom u\u017e\u00edvan\u00ed<\/p>\n\n\n\n

      • 10 % z po\u010diato\u010dnej d\u00e1vky, ka\u017ed\u00fd de\u0148<\/li><\/ul>\n\n\n\n

        Pri dlh\u0161om u\u017e\u00edvan\u00ed<\/p>\n\n\n\n

        • 10 % z po\u010diato\u010dnej d\u00e1vky, ka\u017ed\u00fdch 7 dn\u00ed<\/li><\/ul>\n\n\n\n

          Pr\u00edklad \u010d. 1:<\/strong> Tapering off pre Tralgit, peror\u00e1lny roztok, pri kr\u00e1tkom u\u017e\u00edvan\u00ed a dennej d\u00e1vke 4 x 20 kvapiek. Odoberanie 10 % z p\u00f4vodnej d\u00e1vky.<\/p>\n\n\n\n

          1. de\u0148 \u2013 18, 18, 18, 18<\/li>
          2. de\u0148 \u2013 16, 16 ,16, 16<\/li>
          3. de\u0148 \u2013 14, 14, 14, 14, <\/li>
          4. de\u0148 \u2013 12, 12, 12, 12<\/li>
          5. de\u0148 \u2013 10, 10, 10, 10<\/li>
          6. de\u0148 \u2013 8, 8, 8, 8<\/li>
          7. de\u0148 \u2013 6, 6, 6, 6<\/li>
          8. de\u0148 \u2013 4, 4, 4, 4<\/li>
          9. de\u0148 \u2013 2, 2, 2, 2<\/li>
          10. de\u0148 \u2013 0<\/li><\/ol>\n\n\n\n

            Pr\u00edklad \u010d. 2:<\/strong> Tapering off pre Tralgit, peror\u00e1lny roztok, pri dlhodobom u\u017e\u00edvan\u00ed a dennej d\u00e1vke 4 x 20 kvapiek. Odoberanie 10 % z p\u00f4vodnej d\u00e1vky.<\/p>\n\n\n\n

            1. t\u00fd\u017ede\u0148 \u2013 18, 18, 18, 18<\/li>
            2. t\u00fd\u017ede\u0148 \u2013 16, 16 ,16, 16<\/li>
            3. t\u00fd\u017ede\u0148 \u2013 14, 14, 14, 14, <\/li>
            4. t\u00fd\u017ede\u0148 \u2013 12, 12, 12, 12<\/li>
            5. t\u00fd\u017ede\u0148 \u2013 10, 10, 10, 10<\/li>
            6. t\u00fd\u017ede\u0148 \u2013 8, 8, 8, 8<\/li>
            7. t\u00fd\u017ede\u0148 \u2013 6, 6, 6, 6<\/li>
            8. t\u00fd\u017ede\u0148 \u2013 4, 4, 4, 4<\/li>
            9. t\u00fd\u017ede\u0148 \u2013 2, 2, 2, 2<\/li>
            10.  t\u00fd\u017ede\u0148 \u2013 0<\/li><\/ol>\n\n\n\n

              Cold turkey<\/strong><\/p>\n\n\n\n

              Cold turkey<\/em> je anglick\u00fd n\u00e1zov pre vysadenie lieku na ktorom ste z\u00e1visl\u00fd, v podstate, zo d\u0148a na de\u0148. Je to ur\u010dite naj\u0165a\u017e\u0161ia met\u00f3da, ale na druh\u00fa stranu, ke\u010f ste nedo\u010dkav\u00fd, mo\u017eno je to met\u00f3da p\u00e1ve pre v\u00e1s. Ale o\u010dak\u00e1vajte \u0165a\u017ek\u00e9 abstinen\u010dn\u00e9 pr\u00edznaky. <\/p>\n\n\n\n

              Substitu\u010dn\u00e1 lie\u010dba<\/strong><\/p>\n\n\n\n

              Substitu\u010dn\u00e1 lie\u010dba<\/em> sa u n\u00e1s, dalo by sa poveda\u0165, u\u017e celkom be\u017ene pou\u017e\u00edva. T\u00fato mo\u017enos\u0165 lek\u00e1ri vyu\u017e\u00edvaj\u00fa pri opi\u00e1toch, ako je hero\u00edn hlavne pri injek\u010dnom pod\u00e1van\u00ed. Ale pou\u017e\u00edva sa aj pri odvykan\u00ed od liekov ako je Tramal, DHC, Kode\u00edn, Morfium, Oxykod\u00f3n<\/em>… Na substitu\u010dn\u00fa lie\u010dbu a pou\u017e\u00edvaj\u00fa tri lieky \u2013 Suboxone<\/em>, Subutex<\/em>a Metadon<\/em>. Metadon je z t\u00fdchto liekov najsilnej\u0161\u00ed, ale hroz\u00ed aj najv\u00e4\u010d\u0161ie riziko z\u00e1vislosti. \u00c1no, \u010d\u00edtate spr\u00e1vne. To, \u010do v\u00e1m pom\u00f4\u017ee z jednej z\u00e1vislosti, v\u00e1s dostane do druhej. Ale samozrejme, substitu\u010dn\u00e1 lie\u010dba je met\u00f3da, ktor\u00e1 funguje. Ja s\u00e1m som ju vyu\u017eil. Bral som liek Suboxone<\/em>, ktor\u00fd ma celkom dobre stabilizoval. A s jeho odvykan\u00edm nebol tak\u00fd probl\u00e9m, vyu\u017eil som met\u00f3du Tapering off. Subutex<\/em> a Suboxone<\/em>. Dva podobn\u00e9 n\u00e1zvy, ale \u00fa\u010dinok je in\u00fd. Subutex<\/em> obsahuje \u010dist\u00fd Buprenorf\u00edn<\/em>, ale Suboxone<\/em> obsahuje Buprenorf\u00edn<\/em>, ale aj \u00fa\u010dinn\u00fa l\u00e1tku Naloxone<\/em>, ktor\u00e1 blokuje psychick\u00e9 z\u00e1\u017eitky zo Suboxonu<\/em>. Teda so Suboxonom<\/em> si neu\u017eijete to\u013eko \u201ez\u00e1bavy\u201c ako so Subutexom<\/em>, ale verte mi, \u017ee zo <\/em>Suboxonu<\/em> sa odvyk\u00e1 \u013eah\u0161ie. Ale t\u00e9mu substitu\u010dnej lie\u010dby<\/em> rozoberiem v niektorom z \u010fal\u0161\u00edch blogov ove\u013ea podrobnej\u0161ie.<\/p>\n\n\n\n

              Podporn\u00e1 lie\u010dba<\/strong><\/p>\n\n\n\n

              Podporn\u00e1 lie\u010dba<\/em> je ve\u013emi z\u00e1ludn\u00e1, ale niekedy sa bez nej neob\u00eddete. Osobne by som ju odpor\u00fa\u010dal hlavne v prv\u00fdch dvoch t\u00fd\u017ed\u0148och na zvl\u00e1dnutie siln\u00fdch abstinen\u010dn\u00fdch pr\u00edznakov, ale potom by som ju vysadil, aby ste nepre\u0161li z jednej z\u00e1vislosti do druhej. Ako podporn\u00e9 lieky sa pou\u017e\u00edvaj\u00fa antidepres\u00edva<\/em>, ale aj benzodiazep\u00edny<\/em>(BDZ) ako je Neurol, Xanax, Frontin, Rivotril <\/em>a podobne. \u010casto sa pou\u017e\u00edva aj Diazepam<\/em>. Ako som spomenul, pozor na siln\u00fa n\u00e1vykovos\u0165 t\u00fdchto liekov. Hovor\u00edm hlavne o \u201ebenz\u00e1\u010doch\u201c. Ale ak nedok\u00e1\u017eete zvl\u00e1dnu\u0165 po\u010diato\u010dn\u00fa f\u00e1zu abs\u0165\u00e1kov, tak v\u00e1m aj t\u00e1to lie\u010dba m\u00f4\u017ee pom\u00f4c\u0165.<\/p>\n\n\n\n

              Tramal je teda silne n\u00e1vykov\u00fd liek, a mysl\u00edm si, \u017ee fyzick\u00e9 odvykanie zvl\u00e1dnete, aj ke\u010f je nepr\u00edjemn\u00e9, ale m\u00e1te istotu, \u017ee do dvoch t\u00fd\u017ed\u0148ov skon\u010d\u00ed. Ale psychick\u00e9 abstinen\u010dn\u00e9 pr\u00edznaky m\u00f4\u017eu trva\u0165 aj nieko\u013eko mesiacov. Je to na v\u00e1s, ak\u00e1 ste siln\u00e1 osobnos\u0165, a \u010di z va\u0161ej pevnej v\u00f4le nie\u010do ostalo, alebo ju cel\u00fa \u201ezo\u017eral\u201c Tramal. <\/p>\n\n\n\n

              Ak, je to \u010do i len trochu mo\u017en\u00e9, rad\u0161ej s n\u00edm ani neza\u010d\u00ednajte. Ak s liekom len za\u010d\u00ednate, d\u00e1vajte si pozor, u\u017e po mesiaci m\u00f4\u017eete c\u00edti\u0165, \u017ee v\u00e1m tento liek ch\u00fdba. Ak v\u0161ak u\u017e ste v tomto koloto\u010di ste, a chcete z neho von, vyu\u017eite jednu z pop\u00edsan\u00fdch met\u00f3d, ale samozrejme, pora\u010fte sa s psychiatrom (ambulancie pre lie\u010dbu drogov\u00fdch z\u00e1vislost\u00ed), \u010do by v\u00e1m odporu\u010dil. A taktie\u017e, nech ste pod odborn\u00fdm doh\u013eadom. <\/p>\n\n\n\n

              Dr\u017e\u00edm v\u00e1m palce, ak chcete e\u0161te nejak\u00fa radu, som tu pre v\u00e1s.<\/p>\n\n\n\n

              V\u0161etky uveden\u00e9 skuto\u010dnosti v \u010dl\u00e1nku, s\u00fa mojimi osobn\u00fdmi sk\u00fasenos\u0165ami a v\u00fdsledkom samo\u0161t\u00fadia a konzult\u00e1ci\u00ed s odborn\u00edkom. Maj\u00fa pom\u00f4c\u0165 \u013eu\u010fom s podobn\u00fdmi probl\u00e9mami ako som mal ja, a mo\u017eno ich aspo\u0148 trochu nasmerova\u0165 na spr\u00e1vnu cestu.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

              Tramal je liek s \u00fa\u010dinnou l\u00e1tkou tramadol. T\u00e1to l\u00e1tka sa nach\u00e1dza aj v liekoch Tramabene, Tralgit, Tramal retard activis, Mabron a mnohe in\u00e9. Tramal sa pou\u017e\u00edva na lie\u010dbu stredne slinej […]<\/p>\n","protected":false},"author":1,"featured_media":6582,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[48,56],"tags":[],"yoast_head":"\nAko si odvykn\u00fa\u0165 od Tramalu (opi\u00f3dov)? | JurajTabak.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jurajtabak.com\/sk\/ako-si-odvyknut-od-tramalu-opioidov\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ako si odvykn\u00fa\u0165 od Tramalu (opi\u00f3dov)? | JurajTabak.com\" \/>\n<meta property=\"og:description\" content=\"Tramal je liek s \u00fa\u010dinnou l\u00e1tkou tramadol. 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