I fucking HATE tramadol. I would, if in severe withdrawal if my doc suddenly decided to cut my oxy script and leave me with nothing, not so much as a taper (which he would never do), probably take it, if I could find no other opioids.
But I would be worried about seizure. If I forget to take my oxycontin and oxynorm, or if I'm away from my meds and can't get to them, aside from feeling like hammered shite, one way my CNS lets me know it wants its regular helping of oxy is that my body starts having myoclonic jerks. Its does anyway, but they get damn nasty if I don't have some sort of opioid. Even on it, still happens. My body will suddenly jerk, and possibly send things flying if I'm holding anything at the time. Today, even on about 240-250mg oxy, plugged (ol'toady, after getting raided, sweet-talked his doctor into giving him another supply of his meds, even though he wasn't due for another three weeks, so he has a decent bit to play with:D)
Withdrawals though, make these myoclonic attacks, that are otherwise usually limited to twitching, turn into fairly dramatic sudden jerks. Slammed my leg upwards into the bottom of my computer desk earlier, even on the oxy. I have a feeling it would have hurt a lot more than it otherwise would had there not been that much in my system.
Gah..damn neurologist, after seeing nothing on an MRI insisted it must be a tic.
Does opioid withdrawal USUALLY include the risk of seizure?
If I ever were to take tramadol for withdrawal, despite how much I hate it, I hate withdrawal more, I wouldn't take it without adding a dose of my chlormethiazole at least alongside it. Possibly my loprazolam and nitrazepam also, although I imagine the chlormethiazole on its own, possibly with pregabalin as an adjunct as a prophylactic against seizure. I have a strong feeling my seizure threshold is lowered anyway. Withdrawal makes it go apewaste, resulting in more or less continuous myoclonic attacks.
As for tramadol esters. I would SERIOUSLY avoid these. There is a post I read on another forum toady is member of, which wishes to remain nameless discussing tramadol, O-desmethyltramadol and esters of the former. One was tried, I've forgot which, Toady did tell me, but I was paying only moderate attention, seeing as how I can't stand tramadol, acetyl ester of O-desmethyl-tramadol was tested on several people.
To quote from the nameless forum (they do not want publicity)
''I have heard of accounts that this holds true for the esterified tramadol, too, although the activity wasn't described as pleasant but rather horrifying. The short chained phenol-esters of O-desmethyltramadol are definitely a NO-GO area, despite the alleged (!) promising activity.''
When asked to elaborate:
"hand/leg tremor so much so that testers were unable to type and read; confusion, loss of memory, severe cloudiness, inability to sleep [...] effects persisted for several days combined with mild opioid withdrawal, GI upset, sweating restlessness, coldness in extremities"
Furthermore, stimulation was significantly less pronounced than with tramadol itself. Opioid effects were moderate but overwhelmed by the described torture before they came into an impressive range.