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A 19-year-old female asked:

On fluoxetine & tramadol adviced by doc. leaflet said this isnt safe.what are risks of taking these together is it serious & should i stop taking one?

1 doctor answer1 doctor weighed in
Dr. Lynne Weixel
Clinical Psychology 37 years experience
Glad you asked: Yes - these are risky in combo and the worst is very serious indeed. Serotonin syndrome can be deadly - it's rare to be that bad, but it happens. BUT, if you've started this, please get a Dr to monitor your coming off - stopping these abruptly can also be very risky. I wish more people would ask - and before they start the Rx! A good Dr is worth finding even if it takes time. Interview them!

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Last updated Jun 28, 2016

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