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    These medicines include: • antidepressants such ultram as the selective serotonin reuptakeinhibitors (SSRIs) eg paroxetine, citalopram and fluoxetine • tricyclic antidepressants (TCAs) eg amitriptyline, • MAOI-type antidepressants eg moclobemide, phenelzine • Other medicines that have been associated with serotonin syndrome include pethidine, lithium, St John’s Wort, levodopa, and illicit drugs such as cocaine and methamphetamine .
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    1 In most cases, serotonin syndrome presents within 24 tramadol overdose liver damage tramadol schedule tennessee tramadol 50mg schedule opiate withdrawal hours of a change to, or initiation of, a serotonergic medicine . If it is suspected, withdrawal of serotonergic medicines usually ultram brings about rapid improvement . 7 Note: Some patients with pain syndromes have co-morbid depression and require tramadol kidney tramadol sr high ultram deliver to uk fed ex Overnight tramadol 50 mg not working analgesics and antidepressants .
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    6 It is recommended that lower doses are prescribed to patients over 75 years, with ultram the maximum daily dose no greater than 300mg . TAKE SPECIAL CARE WITH OLDER ADULTS Most of the ultram spontaneous reports of adverse reactions pertaining to tramadol, involve patients over 80 years of age . 1 This is due to elevated serum concentrations of tramadol and delayed elimination ultram in older adults .
    SAFER USE OF HIGH RISK MEDICINES Patients with renal or hepatic insufficiency may have delayed elimination of tramadol, for these patients, consider increasing the dosing ultram interval .

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