e.  I hear the withdrawal from tramadol is pretty nasty as well, these also come in a long acting so I'm wondering why it's singled out as it is?  Correct. It does vary with the individual, but I can tell you it was bad. The only thing I've experienced worse was withdrawing from 0mg of Ativan daily (for a year). That took over two weeks of living hell to get over. I had no "lesser drugs" or herbs to blunt the withdrawals. Just weeks of continuous hot and cold sweats, panic attacks, and literally zero sleep at night. I couldn't even sit down for more than a couple of minutes at a time before having to get up and pace.  