[donocco]

Saygoon
The problem is that the Combo of Tramadol and Cymbalta may
cause the Serotonin Syndrome. Tramadol is chemically very similar to Effexor so in a way it like taking Cymbalta and effexor together. Tramadol is not the best choice for pain relief with Cymbalta. An opiate would be safer. Talk with your doctor.

Paul