Welcome to NeuroTalk.
There is a very small subset of depression patients who respond to opiates. This is because the mu receptor can also be involved with the serotonin system.
We have a thread on the bipolar forum about buprenorphine:
http://neurotalk.psychcentral.com/sh...=buprenorphine
Ultram is a weak serotonin acting drug, and has some contraindications about using with SSRI drugs because of that.
This listed interaction describes it:
http://www.drugs.com/drug-interactio...2057-1348.html
This is the full list at drugs.com :
http://www.drugs.com/drug-interactions/tramadol.html
I personally have not seen any of our PN posters here describe antidepressant results with tramadol. I use it myself, but not every day and I don't see that effect either. But the literature describes it as a potential, and it is used often for the pain issues in patients with fibromyalgia which is a central pain condition responding to serotonin.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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