hi, I feel sorry for your trouble. It is good to see that you tolerated tramadol well. To be honest, it is one of the safest drugs available for pain, but the concern that it is an opiate drug which has a tendency to abuse, often scares us (many doctors) to force their patients out of it after sometime. In your case, you took shockingly high doses initially, yet could negotiate well. It should have tapered much earlier and brought to least, yet effective dose say 100 mg/day. Gabapentin or topi are not absolutely safer alternatives to tramadol, and have their side effects too. In my opinion, you should get the drug you want to keep you out of pain, keeping aside minor side effects. But as your doctor is the best person to judge you, he may take a while before a suitable alternative is sought. All the best.