I have read that tramadol is used as an antidepressant in parts of Europe. Does it have any SSRI effects? Just curious. I try to go back and forth from Ultram to hydro's. Makes my hydros last longer and definetely helps with hydro withdrawal. No "buzz" from them, but thats OK. They definately help me with the chronic pain in my back. I also think its a muscular/skeletle pain reliever. Doesn't work for headaches, toothaches etc. I'm sure I will be corrected if I'm wrong. My PM doc would rather give me percocet than ultram. He said "They are too addicting". Go figure.