MI
A 35-year-old female asked:
I take ultram for fibro, zoloft and xanax (alprazolam) for panic anxiety disorder, and a ambien at night for sleep is this a safe combo?
4 doctor answers • 6 doctors weighed in
Dr. Shahid Rafiqueanswered
Internal Medicine 46 years experience
No: Ultram and zoloft are generally not effective in fibromyalgia syndrome. Xanax (alprazolam) is generally not recommended for long term management of panic disorder. Ambien is safe and effective for sleep. There is no best combination. Your doctor will try various combinations and see what suits you best in terms of effectiveness and side effects.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
Dr. Brian Writeranswered
Psychiatry 18 years experience
Potentially: Ultram taken with zoloft can result in symptoms including gastrointestinal distress, confusion, changes in heart rate/blood pressure & temperature as well as involuntary movements ("myoclonus"). At the extreme, this condition (serotonin syndrome) can progress to death. Ultram, xanax (alprazolam) and Ambien taken together can result a dangerous level of sedation. Consider discussing risks with your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
Dr. Douglas Beyanswered
Psychiatry 59 years experience
Probably: Ultram & zoloft (sertraline) both raise serotonin & there are cautions about the possibility of a serotonin syndrome but i've seen many pts taling ssris & ultram with no problems.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
Dr. Imad Khreimanswered
Psychiatry 41 years experience
Xanax (alprazolam): I don't really recommend short acting benzos like xanax (alprazolam) for panic, they are associated with inter-dose withdrawal, faster tolerance and gradual elevation of baseline anxiety , discuss the issue with your psychiatrist, otherwise the combination is ok.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
Last updated Sep 28, 2016
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $44!
50% off with $15/month membership
Disclaimer:
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.