I recently started Aropax (Brand name for Paroxetine in Aus) at 20mg a day in the morning. Since then i have managed to get Henoch-Shonlein Purpura which is an infection that causes inflammation of the capilleries and causes petatchie (minor internal bleeding) I was in hospital for a few days with IV antibiotics but have since been released with a bundle of Antibiotics and a Script of Panadeine Forte (500mg APAP 30mg Codeine) My Med ran out and so i went to see the doctor about something possibly stronger due to the fact that Forte was not relieving my pain. He gave me Tramadol and suggested to take 100mg four times daily. Now i know that Tramadol can inhibit the reuptake of serotonin as well as my med can, so there is some possibility of Serotonin Syndrome. Although the doctor suggested that it would be highly doubtful with the amounts of both medications. So i am curious as to whether or not it would be safe to take this medication? How about higher doses? I am told to take 8 in a day and Tramadols effects last about 8 hours so i would always have around 200mg in my body. So say if were to take 4-5 (200mg-250mg) at once and no more for that day would it be considered to be no more different than having the normal dosage.