I've been taking tramadol for over a year now. Never had panic attacks till recently, past 4 or 5 months. Unable to take allot of other pain relievers due IBS upsets my stomach bad. Been taking it with norflex both cause euphoria. For carpal tunnel syndrome both wrists, pronator syndrome in entire left forearm, tendentious in both elbows, & fibromyalgia. Have had depression and anxiety problems on and off throughout life. Now doctor has added ativan 1mg twice daily & celexa 10 mg once. For a cocktail now of tramadol 50 mg three times, norflex 100 mg twice, ativan 1mg twice, and one celexa 10mg. So far so good, no panic attacks, lost a girlfriend due to them. Maybe she'll take me back, maybe not. Finally have surgery scheduled for 2/25 for my left arm and wrist, and elbow. 3 incisions, 4 in on outside elbow, 10 in inside left forearm, & 2 in left wrist. Then 6 weeks later I get my right wrist & elbow done. Just discouraging overcame my depression long time ago thru therapy, only to wind up back where I started, my depression then caused my divorce, now loss of someone very special too. Oh well gotta be more fish in the sea? Right?