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I am going to ask my Doc on Friday.

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I have been given Flexeril to try and help with some spasms since surgery for my pancreas/liver.

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The norepinephrine ( very similar to epinephrine (adrenaline)) may explain a nasty effect I think was due to the Ultram .

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I'm taking the Ultram with Paxil.

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Eveyone is different in how a drug effects them, it appears that you are getting more effect from the tramadol than most people do and yes it does have some SSRI antidepressent effects.

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He has suggested EffexorXR instead of Ultram , but is wary of taking me off Desipramine because it has helped me so much.

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