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Reactions to a medication can suddenly occur, even if you've taken it successfully before, some people's bodies just can no longer tolerate them. It is hard to say what is causing this reaction, it could be a developed allergy or a blood pressure elevation, among other things. Have you spoken to your doctor about this, if so, what have they said? http:/*/*www.medschat.com/*wiki/*Tramadol/*

Thanks for the reply and the confirmation regarding orgasm. I'll tell my doctor that I'm even more convinced.
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I just began taking tramadol 50 mg and have questions on taking the tramadol. I am also on citalopram 40 mg and take maxalt for migraine headaches. Should I separate when I take these medications or doesn't it matter? I read the information that came with the prescription and have questions now about Serotonin Syndrome.

i also have ms and my dr prescribed tramadol 7 years ago-i got my refill and didnt notice it when i picked it up, but i didnt get my full 30 day supply, have you taken anything else that is even close to the same effect-my dr wont refill until the reg time.
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