Hello! i take prozac, daily .........my pcp & surgeon are aware of all this........yet, for appx the last 3 & half years they have perscribed tramad?

Understood.: Although the combination of Tramadol (Tramad) & Prozac has the potential to cause a serotinin syndrome - it doesn't in most people. I have seen a couple of cases where a person was on a high dose of a selective serotonin reuptake inhibitor (SSRI) and tramadol & developed serotonin syndrome. Sometimes, it is not dose related. It is not uncommon to prescribe medications that may have potential to