It depends.: Some people may be very sensitive to low doses of meds, especially if you have liver disease or your liver enzymes are slow metabolizers of drugs. You could develop serotonin syndrome w/ low doses of Lexapro (escitalopram) & tramadol. Let your doctor know if you experience nausea, flushing, diarrhea, headaches, profuse sweating, muscle twitching, rigidity, confusion, hallucinations or seizures.
Answered 1/21/2019
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