Opiate withdrawal but severe discomfort that mimicks ss would tapering be a better solution to quitting the tramadol abrubtly, what to do?

Yes: If the tramadol is being prescribed, talk to the prescriber about a tapering regimen. If it is not prescribed, this is part of a substance use disorder, and you should seek help. Tapering can be done with a cross-reactive drug like buprenorphine (Suboxone) or methadone, or can be done with tramadol itself. However, counseling and a support program is also a necessary part of recovery. Good luck.

Yes: In general it is a lot better in terms of comfort and the body adjusting to taper off medications if you have been on it for a prolonged period of time. Tapering both dose and interval helps.