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Best of luck to your friend.

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This drug may increase the risk of seizure in patients taking MAO inhibitors, neuroleptics, and other drugs that reduce the seizure threshold.

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The atypical analgesic tramadol has strong structural similarities to the antidepressant venlafaxine and is a mixed noradrenaline (NA) and serotonin (5-HT) uptake inhibitor.

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Are they basically the same as far as control of pain intensity?

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I think that could make a difference in the outcome of the study.

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Tramadol , on the other hand, can last up to 12 hours.