Unfortunately, the history of semi-synthetic and synthetic opioids has been one of 'well this new one is not addictive!' starting with Morphine, then Heroin, and so and so on; then in more recent history it was the weaker synthetic opioids are not addictive (Propoxyphene); then partial agonists (Pentazocine) are not addictive; then potent partial agonists used to treat addiction (Buprenorphine) are not addictive; etc. Tramadol is not a typical opioid, and has other methods of action (like Norepinepherine Reuptake Inhibition), so it was considered less prone to abuse and addiction. Regardless- it is habit forming, causes euphoria, and acts like a typical mu agonist opioid (will cause dependancy and withdrawal syndrome).
If you are without Tramadol and take any other opioid, such as you have been with Hydrocodone, it will alleviate the withdrawal syndrome as long as it is at high enough blood serum levels. But once it starts to be metabolized and discarded by the body, you will re-enter acute withdrawal. Your situation is called
Iatrogenic Addiction:
Iatrogenic Addiction
The potential for ADDICTION or ABUSE influences the licit medical use of many drugs, including OPIOIDS, BENZODIAZEPINES, BARBITURATES, and others. This influence can be evaluated from two perspectives—(1) the risk that addiction or abuse will result from medical treatment of patients with no such prior history, and (2) the possibility that overconcern about this risk leads to inappropriate undertreatment of certain medical conditions. Although these issues can be discussed with reference to any of these drug classes, the opioids are most illuminating and are emphasized below.
The Risk of Addiction or Abuse
Like any other potential adverse outcome of drug therapy, the prevalence of iatrogenic addiction (drug addiction or abuse during medical treatment) must be determined so that the risk can be assessed by both the practitioner and the patient. An accurate understanding of prevalence, in turn, requires the application of clinically relevant definitions of these phenomena. Unfortunately, there has been little effort to define the addiction syndrome as it occurs in patients, and there is abundant evidence that clinicians commonly use definitions that are inappropriate.
Your doctors ignorance has lead you into this predicament. Hydroxyzine alone is not a standard or appropriate treatment for opioid withdrawal. The problem is that your pain needs complicate how you can and should go about a detoxification from Tramadol. Have you had any success with non-opioid moderate to severe oral pain medications like Pregabalin (Lyrica), Gabapentin (Neurontin), Ketoralac (Toradol) [also available in injectable formulations], and adjunctive pain meds like Orphenadrine etc?
In the end you need to coordinate with a medical professional. Depending on your health insurance and financial situation, it'd probably be best to seek the advice of a pain management doctor and a substance abuse specialist of some kind. An outpatient but monitored Tramadol taper (i.e. by only dispensing a day or weeks worth at a time, meaning you can only pick up 1, 2 , 3, etc days worth from the pharmacy at a time) or giving your prescription to a trusted family member or friend to dispense on schedule, combined with another regimine for managing your pain without opioids, and possibly traditional outpatient non-opioid detoxification medications (Clonidine, Benzodiazepines, sleeping medications, etc).