I’m glad I quit taking it, honestly at this point I try not to take anything if I can push through it. I spent way too long taking too much ibuprofen and that messed me up, last thing I need is long term opiate use and all the mess that goes with that.

Tramadol is a weird one. It is an opioid, but it’s also an SNRI (serotonin-norepinephrine reuptake inhibitor). It’s actually not really safe to be taking with something like a TCA because of that (risk of Seratonin syndrome).

They’re still prescribed together quite often, despite that.