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.  Also this article address chronic vs acute pain in that they are moving away from even using these drugs to treat chronic pain (that's pain that lasts a long time), this article is in regards to short term, acute pain.  