I think Tramadol does not mix well w/lots of meds. My doc prescribed it to me for back pain and just being the paranoid person I'am, I went on to Drugs.com to check interaction with meds I'm taking currently. Well it turns out if you take any SSRIs, which I do, the interaction is severe. I was so glad I check before I took it. The interaction effects were seizures, comas. Scared the [censored] out of me. But it was my fault also cause I didnt inform the docs the other medication I was on. I hope you are feeling better tone. Everyone, be safe