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In addition to opiate receptor binding, it also produces central nervous system stimulation which, according to some users, is similar to that produced by amphetamines.

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I am not posting here to be critical of you or of Jill, but to support Cathy's report of the terrible withdrawal she went through coming off Ultram.

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Quinidine, an inhibitor of the CYP2D6 cytochrome P450 isoenzyme, may inhibit tramadol metabolism as tramadol is metabolized by this particular isoenzyme.

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Oregon Health and Science University. I just cant keep up the doses. I would expect that for myself, ultram/ tramadol does help but only to a more restful sleep but they can questionably work against you. Before taking carisoprodol.

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