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This is Dr. Diego, experienced in Internal Medicine, Pulmonary and Critical Care.
I understand your concerns. The combination of tramadol and escitalopram is known to increase the risk of serotonin syndrome. Agitation, anxiety plus muscular problems are common. You should stop tramadol and take tylenol until you contact the practitioner who prescribed tramadol. He can switch to a different pain killer and avoid the risky combination of tramadol with your SSRI. Let me know if you have any other questions. Please rate my answer.
Tha half life of tramadol is between 6-9 hours and the half life of escitalopram is between 24 to 32 hours. As long as your last dose of tramadol was over 32 hours apart from escitalopram you can take your medication. Since you mentioned that your last dose was yesterday, you can take your medication tomorrow. Your symptoms shouldn't last more than 32 hours in the worst scenario.
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