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By doing this, it modifies the pain message - specifiy by blocking the reuptake of the neuro chemicals norepinephrine and serotonin. Tramadol or Ultram is not a non steroidal anti inflammatory drug, nor is it a narcotic.

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When I started my medical practice over two decades ago, fibromyalgia was so commonly missed that by the time the average person was finally diagnosed, they’d been seeing various physicians for nine or ten years.

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