I have chronic pain that has been diagnosed as fibromyalgia, along with tendonitis in my elbows and hands, and other pain throughout my body. I take sertraline for anxiety, lyrica and trazadone for my fibro, and tramadol almost daily to help with the pain ( once a day, in the morning) It helps me get through the day, and seems to help also with a little bit of energy, and helps with my concentration. I am a single divorced mother of three kids, I work full time, and go to college. My job is very physically demanding. Are there any long-term health issues for taking tramadol long term, especially with my other meds? I don t know what else to do, because it really does help. Thanks for your time! Deanna