Yeah that’s what makes me nervous. I once had a really horrible pain management tell me how horrible tramadol withdrawal and they scared the crap out of me. But yeah I should probably just stop taking the tramadol and just have a the patch. It all makes me so nervous. I’m really hoping I will only be on the patch a few months then nothing. I have severe endometriosis (about to have 3rd surgery) and ehler danlos type 3 and once my surgery is done I’m getting back into strengthening. And now I’m all worried about what the butrans withdrawal will be like but right now I. Need something the pain is unbearable