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A 55-year-old woman developed serotonin syndrome during treatment with ciprofloxacin, duloxetine and overdose of tramadol [not all routes and dosages stated], administered concurrently.
The woman, who had type 2 diabetes, complained of pain in her feet and legs. She had been prescribed tramadol prolonged release tablets 100mg, not more than 3 times daily. However, she often...
