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However, serotonin syndrome is more likely to occur when Ultram is concomitantly administered with other serotonergic medications, such as SSRIs, TCAs, MAOIs, serotonin norepinephrine reuptake inhibitors (SNRIs), the triptans (medications used in the treatment of migraine headaches), linezolid, lithium or St. John’s Wort. Serotonin syndrome is a potentially life-threatening medical condition, which can lead to death if left untreated. Serotonin syndrome, related to Ultram treatment, occurred in less than one percent of patients during clinical studies and/or post marketing experience.
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