I've been thinking about your question, Bob.

Now that I am older, sleeping on a problem seems to work better for me

In any case, SSRI drugs are known to lower platelets.
http://www.healthsentinel.com/joomla...inal&Itemid=24

Tramadol has this action, SSRI type action, and since you use a high dose it might be the culprit.

Lyrica also has a decreased platelet count listed:
from http://www.rxlist.com/lyrica-drug.htm

Keep in mind this above insert copy was done with normal doses, for a short time. You have been on high dose for much longer than any study.

So you need to watch for signs of anemia...which would indicate internal bleeding issues. Looking at nail beds and your eye membranes is a quick way to decide if you need to see your doctor. If either one get really pale, go in for some testing and evaluation.