"i have been on just about every antidepressant you can name. they started giving me bad side effects like constipation so i had to stop taking them. for about two years i could hardly get out of bed in the morning, i was suffering from severe depression and had absolutly no motivation to do anything. i had gotten tennis elbow and the doc put me on tramadol. within a couple days not only did it help with the pain but i started feeling my depression lifting as well as my motivation. i told the doctor it was working great for my depression so he kept me on it. i take 150 mg a day. i no longer sleep all day and have even decided to go back to school. it helps with not only my motivation and depression it helps me concentrate. i love it! "