All anti dep & anti anxiety meds i've checked are incompatible w tramadol. it seems valium or adavan are my only alternative. agree? any i've missed?

Tramadol is tricky: Tramadol interacts with many meds. Even combined with Valium or Ativan (lorazepam) there's a risk of cns/respiratory depression and psychomotor impairment. With most antidepressants there's a risk of serotonin syndrome too. If you must stay on tramadol, consider tricyclic antidepressants like imipramine. Sedation and serotonin syndrome are possible, but can be monitored by your doctor.

Few: Other alternatives would be buspar, (buspirone) gabitril, trileptal, or supplements such as same or java java or herbal teas.

Tramadol: It seems like you are trying to treat yourself, and you struggle with both - pain, depression, and anxiety. There are too many enemies you are trying to fight alone. 1. There are antidepressants which could also help with pain, and you may not even need tramadol ( you probably already get used to and need more than before) 2. Tramadol may cause depression itself 3. Anxiety (anticipation of pain?).

Disagree: While it is more likely for you to experience more sleepiness or a rare side effect called serotonin syndrome (with severe muscle stiffness and delirium), those side effects can be monitored by your doctor and the dose of the medications for your anxiety/depression can be kept low. Theedications you listed as alternatives can have ther own side effects, including becoming addicted to them.