A member asked:

I am currently on wellbutrin (bupropion) xl and lexapro and was prescribed tramadol. wanted to see if there was a bad interaction if taken together?

5 doctors weighed in across 2 answers

YesThereIsInteractio: Yes taking Tramadol with these two increases the risk of seizures which may occur with either of them

Answered 3/31/2015

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Dr. Bahman Omrani answered

Specializes in Pain Management

Requires Tact: Combination of SSRI such as Lexapro can apparently cause serotonin syndrome. In addition, the manufacturer of tramadol notes concomitant therapy with SSRI increases risk of seizures.Furthermore, both Tramadol and Wellbutrin (bupropion) can lower the seizure threshold. PGT testing to determine CYP2D6 status may be able to guide treatment. The prescribing physician(s) should be informed of this combination.

Answered 2/25/2023

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