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The symptoms of serotonin syndrome include:<\/p>\n<ul>\n<li>high blood pressure<\/li>\n<li>fast heart rate<\/li>\n<li>lack of coordination<\/li>\n<li>diarrhea<\/li>\n<li>hallucinations<\/li>\n<li>agitation<\/li>\n<li>coma<\/li>\n<li>nausea and vomiting<\/li>\n<\/ul>\n<h2>What to avoid while using tramadol?<\/h2>\n<p>Avoid taking this medicine if you are using other drugs or narcotic medications. Taking tramadol with other medications can lead to fatal side effects such as slow breathing. 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