sub:assertion { d:DB00193dv:ddi-interactor-indr:DB00193_DB00476 . d:DB00476dv:ddi-interactor-indr:DB00193_DB00476 . dr:DB00193_DB00476dct:identifier "drugbank_resource:DB00193_DB00476" ; dct:title "DDI between Tramadol and Duloxetine - Duloxetine may decrease the effect of Tramadol by decreasing active metabolite production. Increased risk of serotonin syndrome. Monitor for Tramadol efficacy and symptoms of serotonin syndrome."@en ; adv:Drug-Drug-Interaction ; rdfs:label "DDI between Tramadol and Duloxetine - Duloxetine may decrease the effect of Tramadol by decreasing active metabolite production. Increased risk of serotonin syndrome. Monitor for Tramadol efficacy and symptoms of serotonin syndrome. [drugbank_resource:DB00193_DB00476]"@en . }