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taper off the elavil and then start taking it..
However I take Elavil and it helps me with sleep and pain.. I would try just taking the soma and see if that helps the muscle spasms.
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so you took a 5mg for the last two nights?? YOu should be ok just taking 5mg for a week and then stopping Its a pretty low dose of Elavil.. some people take 100mgs a day..
I am surprised the doc who gave you the Tram did not tell you any of this.. it should not be prescribed to someone on a anti depressant.. I had a reaction one time to taking Tram and Lexapro. So i warn the people I can about it.