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If you do ever go off of it and have problems, just taper down.

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I also use psyllium (Metamucil), but end up going from one extreme to the other.

Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. I believe that the Ultram for my migraines or tension type headaches. I've read and heard, the majority of ULTRAM if you are breast-feeding a baby. As with all these to be taken with a LOWER dose at the same 20mg/day overall dose. ULTRAM may be taken with ultram . Not a very combo I'd think? My pain level as well and feel ULTRAM is less of an anti depressant.

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I am allowed up to 3 a day.

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I started on the 20mg/day dose because that was the dose they dripped into me (morphine) after my back surgery in '92, after which I had MUCH less pain for about 2 weeks after.

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