I have been on Tramadol  for 3.5 years taking a very low dose .25 mg but a couple times a month maybe .50 mg . My tinnitus seemed to be getting worse and I was not sleeping as well. Several nights over the last few weeks took .5 mg lorazepam to try and get rest. I decided to stop taking tramadol and it was a nightmare. I have panic attacks,  extreme insomnia and sweats and agitation. I  am concerned about the SNRI component of the tramadol in detox and want to find a detox that is aware of how this medication is different than other opiates. So grateful to find your clinic as you guys appear to have the most thorough understanding of the neurotransmitter problems. 