I'm taking low doses of citalopram (10mg) and mirtazapine (7.5mg). My obgyn has just prescribed tramadol 50mg tid. Pharmacist was reluctant for me to walk off with it and wanted me to speak to my doctor first (have left a message), especially as I've never taken an opioid before. I am in a shit tonne of pain, but am now scared to take it. The pharmacist said it makes no difference that the ADs are at a low dose, the potential is still the same. Not really asking for advice, just wondering if others have been in the same boat. (NSAIDs aren't touching the pain, hence the prescription)