Hello! The best way to taper off Tramadol is to start by asking the provider who prescribes it to you to give you their advice about how to safely come off of the medication. That person knows your medical history and the specifics of your medication schedule and can give you the best advice. You can start CBD while tapering off Tramadol. Start with a low dose and increase slowly over time if necessary. However, if you notice any negative side effects, it may be best to wait until you are completely off Tramadol to start the CBD. Best of luck!