"like others, i have had good success with ultracet (tramadol with acetaminophen) for pain, gad and depression. a few weaknesses are 50% of the time i get a small headache. i experience tiredness/fatigue in the morning and lastly, there is the loss of well being when the drug wears off. this is part of the &quot;dependency&quot; (not addiction) that the user has to beware of.
but the drug takes the edge off pain, blows away depression for a bit and reduces anxiety. 
it&#039;s a balance of taking it when i need to but not all the time. it works for me."