So, if you can get some Effexor
and let yourself run completely out of tramadol then start Effexor
the next day maybe you can stay "stopped". If you can taper off, that would be even better but I just can't. If tramadol is around I take it all!
You wondered about long term effects, I have heard that if you use tramadol in an abuse long term manner as I have (and will again no doubt) it can cause fybromyalgia which would be an additional burdon.