"i feel a need to give a personal warning against tramadol. they are not kidding when they say it&rsquo;s a strong drug. 



i had, to some degree still have, problems with bad general anxiety, and accompanying bad pains which were oddly un-located, sort of all around. (i&rsquo;ve only recently learned that this is not unusual and doctors can&rsquo;t help apparently.) so i tried all kinds of different drugs from the net. one which i felt made a difference was tramadol. so i used it for several years, getting up to insane doses like six hundred mg daily, partly because it didn&rsquo;t *really* help overall but only suppressed the pain for some hours and then it came back worse."