Thanks Annie....I get it now. I was getting worse and worse and needing more and more mestinon to keep up with the breathing issues this morning.

Get this! So I changed tactics since it's Sunday and can't get a hold of a pain specialist I called my primary thinking maybe they would know more about tramadol. They said since I have been tapering so slowly, it can't be that. But then after hearing the story and being sick for over a month, they decided to try upping the dose as a experiment to see if it changes anything....

Within an 80 minutes, I went from profusely sweating to stopping. Nausea to no nausea. Shaking to no shaking. Crazy blood pressure to normal blood pressure. Chills to no chills. I feel entirely different and my breathing went from 25 respirations/minute down to 14! I then checked the plasma concentration of tramadol and it said 1.6-1.9 hours which means I am right exactly in the peak window.

So, does that mean we have an answer now on whether it is anxiety or tramadol?