I took Tram once. One pill, and it was 3 days ago, and I am anxious, I have severe insomnia, I feel like the world is ending, I feel like i am going to die. I lay down to sleep, and everytime I start to doze off, I get a quick adrenaline boost sort of feeling, and I wake up.....this is making me insane! I just started a new job, and I cant have this happen!!! I nedd to get over this!!!! I am at my wits end!!!! I am worrying about stuff I never would have worried about.....OMG this is horrible!!!!! ONE PILL!!!!!!!