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Tramadol can be used for pain relief in both dogs and cats. (Most non-steroidal anti-inflammatory drugs are not safe for feline use so tramadol provides a nice choice for cats with chronic pain issues). Tramadol is given two to three times daily.
Summary: Since chronic pain syndromes and depression simultaneously occur in many patients, it is likely that tramadol and an SSRI will be used together. However, concomitant use of these drugs is known to increase the risk for seizures and serotonin syndrome (see the figure below).
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