So sorry you are struggling so. I know it's awful, believe me. I have been there so many times with tramadol I could never possibly begin to remember them all. I don't mean to be unkind, but your friends don't know the first thing about tramadol/Ultram. Withdrawal from it is nothing remotely like withdrawal from oxy, say--as you, yourself, know, because it, tramdadol, is nothing like oxy/heroin. The reason it takes so long to recover the mood and temp. regulation stuff is not in my opinion, related to its Mu receptor activity. It is related to all its other functions (eg., glutamate), which are many, many, many.

Could you possibly get ahold of some clonidine? I found it really helped with the autonomic system symptoms, esp. the chills and temp. stuff. Might be worth seeing if you can find some.

Thinking of you and sending you support. I would only add one thing that is probably going to make you hate me, but it must be said. You are not "well" when you are horrifically addicted to a massively brain- and body-altering substance that is destroying your life and opportunities. Addicts--like me--like to use that word as a euphemism for using. I don't think it's acccurate. I think the phrase that should replace it is: "...when I am using..."

I hope you have a better day today!!!!!