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You read the side effects and warnings for Gabapentin, and it is unsafe to use Gabapentin and Tramadol together since they are both depressants

A recent study in patients fulfilling the criteria for an implantable cardiac defibrillator (ICD) due to heart failure with reduced ejection fraction showed that patients with no areas of myocardial LGE on CMR were in a lower risk of VT/VF 24