Hi, i think it is important to read through the potential side effect symptoms of combining these medications: https://www.drugs.com/interactions-check.php?drug_list=2221-0,2057-1348
However, i used to take SSRI's with Tramadol and had no adverse effects. Everyone is different. Do you take 200mg of Tramadol all at the same time? Are you taking immediate release or extended release?
Tramadol acts like an SSRI, so there is a risk of Serotonin syndrome, among other potential complications. I was prescribed Vicodin and Tramadol (not to be taken at the same time), and Walgreens didn't fill the Tramadol because I was on 40mg Paxil. I guess the computer indicated a potential adverse drug interaction. Having said that, I had taken some Tramadol before getting the Rx from the surgeon and didn't have any problems. Of course, you should consult with your physician.
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