I know this thread is a year old but my god, if anyone else reads these post responses I feel I have a duty to tell them that yes, tramadol withdrawal is real and it's no "walk in the park". I've been taking tramadol on and off for 3 years now, and when I run out of it, I go into extreme withdrawal. I've came off of methadone and heroin, and althought tramadol is obviously not in that ballpark, it is not fun to come off of. So be mindful of this medicine. It was falsely depicted, at first, of having a low addiction and withdrawal potential, but now health professionals, especially ER staff, are beginning to see first hand how bad it can get. Don't get me wrong, tramadol has its benefits, and it definitely helps a great deal with my pain, but there's the other side of it also, that often gets overlooked by doctors and patients alike.