Listen to me, tramadol might feel like a decent little drug while you are taking it BUT...
Tramadol withdrawal is known to be much worse and long-lasting than other painkillers.
Doctors don't know everything, but research protracted w/d from tram and you will hear some docs sayings its the most life-threatening.
And yes, you took doses high enough to cause serotonin syndrome, esp if these were on consecutive days.
I had a life-threatening SS event 3 years ago from MDMA.
You are going to be FINE but it might take months to recover.
DO NOT DRINK.
Alcohol kills brain proteins that grow new nerve cells.
DO NOT SMOKE.
Cannabis releases serotonin which can cause SEVERE anxiety and then serotonin drops afterwards. NOT GOOD.
Exercise and time are your only friends.
Working out releases a serotonin growth factor known as BDNF.
The chest pain and tachycardia, cold sweats, problems sleeping...
These are all serotonin related.
Serotonin controls the digestive tract, and has a powerful influence on brain function.
It can rewire but does not happen quickly.
If you have been a serotonin abuser with other drugs this could explain your reaction to trams.
MDMA, mushrooms, lsd...these can all alter your serotonin network and invite problems with serotonin releasing agenst like tramadol.
Why 200 mg anyways.
75 - 100 used to get me buzzed for hours...