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Summary: Since chronic pain syndromes and depression simultaneously occur in many patients, it is likely that tramadol and an SSRI will be used together. However, concomitant use of these drugs is known to increase the risk for seizures and serotonin syndrome (see the figure below).
Q: Does tramadol cause itching? A: Ultram (tramadol) is a pain medication that does list itching as a side effect, but taking the antihistamine, Benadryl (diphenhydramine), may prevent the unwanted side effect. Benadryl (diphenhydramine) can cause drowsiness, so it should be taken at bedtime. Other side effects of Ultram (tramadol) may include nausea, vomiting, heartburn, diarrhea, constipation, dizziness, drowsiness, weakness, headache, changes in mood, sweating, dry mouth, and chills. This is not a complete list of the side effects associated with Ultram (tramadol).
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