depression
"Was first prescribed Tramadol as an addon drug with my Vicoden due to a serious injury in a car accident. I also suffer from depression and acute anxiety most of my life with panic attacks. The Vicoden worked at first and then made me sick. I would vomit from it sometimes then it quit working. I took the tramadol one a day usually in the morning and stopped after a month or so because I felt it wasn't doing anything. Man was I wrong. My injuries healed and I stopped the Vicoden. Upon reading more about Tramadol I discovered it acts as a Serotonin and Norepinephrine reuptake inhibitor. So it acts as a anti-depressant as well as a "semi-opiate" Tramadol itself is not an opiate. You body converts it into one, similar to Nucynta. Great drug."