Hi. I was prescribed the same combination for L5-S1 pain (re-herniation, trying to put off surgery or at minimum to manage the pain). My doctor decided t treat me with Tramadol mainly due to the fact it is a non-narcotic, so it involves not as much risk of addiction as for instance hydrocodone, which I had been taking previously. As for the withdrawal, guess there is a general rule to any drugs- do it gradually and never on your own. Your doctor will adjust the dose to your condition and tell you how to withdraw step by step. By the way, I quit smoking six years ago and I need to admit, this was the most challenging task I have ever faced. So I guess, “quitting” drugs is bearable. Was the combination of Topamax and Tramadol effective for you at the beginning? Thanks for any information. J.
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