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Author: hatmaker510

Posted: Wed Dec 28, 2011 2:02 pm

I just know it’s the only pain med that can be used along with sub maintenance. A few people that are (or used to be) on the forum have supplemented their pain treatment plan with it. Personally, it’s never done shit for me either. I guess I don’t have the enzyme either.

The other thing about Ultram is one also has to be careful if they are also on SSRI’s or other serotonin related-products (like St. John’s wort). They can cause serotonin syndrome/storm (whatever it’s called, I’ve heard both), because Ultram also effects serotonin levels in some way that I also can’t adequately explain. Perhaps someone else can.

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