Hi, Thanks for your question. Your body seems to have developed a dependence to opiods from the codeine content of co-codamol. Furthermore, taking tramadol, which is also an opiod, would only aggravate the dependence. The first advice to getting off co-codamol and tramadol is to ensure you do not stop both drugs abruptly (you can stop the tramadol if you have just been on it for a short period of time) as the withdrawal symptoms may be as worse as having seizures and losing one s consciousness. Patients of mine who are trying to wean themselves off opiods are advised and counselled on how to reduce the dosages of the drugs, daily and weekly till they can get off easily. You should reduce the dosages you take each day by about 10%, then after a week reduce your weekly dose by 20% , continue this slow rate of reduction until you can do without it. It might take a while. However, while you wean yourself off of both drugs, you would feel symotoms such as agitation, more pain, sweatiness, and palpitations. However, for these, you should see your doctor to place you on anxiety reducing drugs such as bromazepam, and you should replace the painkilling effects of opiods with that of over-the-counter pain relievers such as ibuprofen. After weaning off the opiods, you should speak with your doctor about exploring physiotherapy and other treatment options such as surgery. I hope I have answered your question and I d be glad to answer more if you have any. Beat wishes.