Depending on how long you have been on tramadol...and the dose if high for a long time.... there will be a withdrawal.
Tramadol has serotonin effects like the Cymbalta, in addition to the opiate mu receptor dependency, so I wouldn't taper off both at the same time. Do one and then the other. If you do the tramadol first, don't change the Cymbalta yet.
Serotonin withdrawal is different for everyone. Some have severe symptoms and others less so.
These are some of the symptoms of tramadol withdrawal:
http://prescription-drug.addictionbl...awal-symptoms/
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Weezie looking at petunias 8.25.2017
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