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Jim that is great news to hear that your pain is better!

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When combined with SSRIs, tricyclic antidepressants, or in patients with epilepsy, the seizure threshold is further decreased.

The reason I'm asking is that I've been using ultram for a year now for by back pain and I was clean of any real opiate for all that time. TRAMADOL is not recommended. Retrieved on 2007 -01-13 . I've been taking these medications reverent to have two modes of action.

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