This is someting im still trying to figure out. so far i can say slow taper, and it seems when you get down to one pill the next step is 3/4ths of a pill for a while, then 2/4ths, then 1/4th before bed. maybe hydrocodone replacement wouldnt be a bad idea, even though this seems oppisite and hydro is considered more addictive than tramadol, but if thats done, one should taper down first then take a LITTLE hydro, not just switch to a load of hydro. Kratom will cut withdrawal at least in half if not more, but it may loss effectiveness after a few days and would have to be used in spurts between tramadol steps. too bad ibogaine is illegal in the US and a few other contries and obscure in the rest of the world, because from what i read, its more effective than what we are lead to believe, but still of course doesnt work for 100% of people.