As others have said, Opioids do not make good antidepressants. Often times though, antidepressants don't make good antidepressants. SSRI's work sometimes, but are frequently "not enough" and side effects of varying shades are well known and even expected i.e. sexual dysfunction.
I too believe that Tramadol as an Opioid/SNRI doesnt make a good choice. I predict dose escalation and subsequent abandonment of the treatment in the future. SNRI's in general though are known for potentially difficult withdrawal syndromes.
I too believe that Tramadol as an Opioid/SNRI doesnt make a good choice. I predict dose escalation and subsequent abandonment of the treatment in the future. SNRI's in general though are known for potentially difficult withdrawal syndromes.