I was prescribed 50 mg 4 times a day, I have fought depression most all of my life, and found Tramadol and depression a horrible trap, as at first it was like a miracle, take a pill and twenty minutes later I felt like I did before the depression started, now quitting only at 150 to 200 mg a day seems impossible as when I cut down or quit, the depression of course returns, but with a lot of panic attacks, and paranoia...