I was prescribed 10 mg Lexapro a day 10 years ago and 25 mg up to 50 mg Tramadol once or twice a day for back pain 3 years ago. My doctor recently prescribed 10 mg of Adderall XR once a day for focus and concentration. I'm afraid to take the Adderall XR with the Lexapro and Tramadol with all the talk about seizures and serotonin syndrome. Does anyone have any experience with these 3 combined? I was told all of the dosages are low enough that I don't need to be concerned.