Okay...Where is this article/letter from? Is this in reference to you? Are you taking zoloft now??
You know what? If this were ME,I would go into detox in-patient,not take suboxone,get
myself to NA,find a sponsor and devote my life to being sober. But,that's just me. With Tramadol there are some tricky issues with the serotonin component. You'll be far from home,alone,depending on some kind of transportation,I just don't like it.
Have you exhausted ALL other options??