I went to a PM doctor about a month ago. He prescribed physical therapy. For three weeks, when I was going to physical therapy, I tried going off tramadol 3 times (1 day each). I found that my body had become very dependent on it and it made me severely depressed when I stopped taking it.
The physical therapy didn't work, so I thought I would try a psychiatrist. Since nobody can find a cause for my pain, perhaps it is mental? He put me on Wellbutrin and cut my tramadol dose in half.
Went back to the PM doc and he prescribed tramadol and Gabapentin. I feel like I'm going in circles. I haven't started taking the Gabapentin, yet. It says to take it 3 times a day but I don't want to be taking too many pills.
I was very depressed for about the first 5 days of starting wellbutrin. I don't know if that was because of the reduced tramadol dose. My mood seems to have leveled off, but the pain is the same.