I'm sure you have probably received replies to your posting by now, but I thought I should let you know about my experience with
). I was taking Ultram for about 6 months, right after its introduction, for lower back pain from 2 spinal surgeries. During this time, I was also suffering from depression. I was prescribed elevil (tricyclic antidepressant) along with Ultram. These two meds didn't mix!