A 32-year-old male asked:
tramadol significantly improves my anxiety, attention and vigilance (associated with norepinephrine). should i look in to snris like fetzima/cymbalta?
1 doctor answer

Dr. Paul Grin answered
36 years experience Pain Management
See a physician: While all SNRIs inhibit both serotonin and norepinephrine reuptake, research indicates that some of the newer agents may be more selective for these neurotransmitters than others. See your prescribing physician for medication adjustment.
Answered on May 30, 2015
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