Basically my advice is to use the tramadol on like the end of day 2 or somewhere in day 3. Use it to fix the headache and get yourself some tiny bit of sleep. Then maybe one more tramadol dosage very late the next day and that is it. Sounds sort of like I don't know what I mean but you can get all of your old self back from the oxy and vics but if you are on the tramadol for very long it can be extremely difficult to get yourself back to feeling 100. Some will argue, that is fine, tramadol is completely synthetic so just keep that in mind. Also it would take like 8 of them to get to where you were feeling on actual pain med (which we don't realise naturally that we are doing that, trying to feel completely normal) maybe more depending on person. Your best bet is to cut down the dosage of pain meds by almost half everyday. Yes it will suck a lot but it's better than the withdrawal symptoms if you go cold turkey. Titration (cutting back) hurts, it's supposed to, but it is WAY better than cold turkey and please be careful with the tramadol.