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Bob, I just read your post stating that you are taking ultram and vicadin at the same time. Since they are both pain meds, it just struck me as stange that you are taking them both.Is your dr aware that you are taking them together? I am not a medical specialist.However I am aware that most drs are very leary of using pain meds ,let alone those two together. Just curious. Juanita CG for George 74 dx98