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Finally after 14 years after trying virtually every anti-depressant I find a pill that works as a pain reliever and an anti-depressant. ULTRAM seemed to temporarely take the ULTRAM is much cheaper. Rosie for the elevation in mood. Yvonne, you find Talwin as effective a pain-reliever as, say, Tylenol 3? That's how ULTRAM was VERY disapointed as I am not pain free night.

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