should be okay with Elavil, as long as Elavil is low dose.
Raise the Elavil dose and you would get more serotonin issues, which "may" interact with tramadol. Most of this interaction is dose dependent. But I used to see people take both all the time with no problems (with Elavil in low dose.).
http://www.drugs.com/interactions-ch...=2221-0,168-74
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Weezie looking at petunias 8.25.2017
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