"doctor prescribed as an alternative to narcotics for pain from herniated disk in neck. doesn&#039;t eliminate pain, but makes it tolerable. best thing is i am not in some narcotic fog and life can continue. i was also taking lexapro for some general anxiety.  lexapro and tramadol are not recommended together so with dr. we decided to eliminate lexapro. i was never a fan due to weight gain and if i missed a dose at night i would have uncomfortable sweating and head zingers. it wasn&#039;t fun for the first week without lexapro due to withdrawal! didn&#039;t expect the nausea, sweats, feeling of extreme heat, head fog...feeling much more balanced and steady, and reduced pain with just tramadol!"