donna if you are taking cymbalta still tramadol is not something you'll be able to take often... it has serotonin syndrome warnings same as triptans cep a triptan you just take once or twice if first dose doesn't work - it is an abortive... the tramadol you hae ot take for the duration of the migraine it only kills the pain, same as the codeine/tylenol. well anyway talk to your doctor about it but if you are taking or may take cymbalta again, make sure and tell him that.

the codeine i have also has a lot of tylenol in it which is probably why it is useless to me - tylenol does nothing for me other than make the pills hepatotoxic in the amount i'd have to take to get enough codeine for that to work grr.

waves hoping to get a triptan... i'd sooner not take the tramadol if i can avoid it but it sure is good to know it will probably work if i need it... day after tomorrow i see neuro, see what he says tho. i have an old mri, i hope i don't have to have another one.