First, DO NOT TAKE tramadol (ultram)
if you are still on an anti-depressant because
it can cause seizures and serotonin syndrome
which can be fatal.
Tramadol has SSRI properties and I've heard
a couple of these 50mg 2-6 hours before you
do your thing helps alot with your problem.
This way you won't have to be on an anti-
depressant all the time.
TALK TO YOUR DOCTOR! but I've heard this has worked for
quite a few people. Tramadol is non-narcotic but can become
habit forming so you always have to be careful.
Once again, do not use until you've spoken to your doc
and the anti-depressants are out of your system.