Doctor insights on:
Amitriptyline Tramadol Pain
Depends, probably not: It depends on how long you have been taking each medication and what you do for a living. The safest answer is no, because both can cause sedation and lead to occupational hazards. If you have taken these for a long time and you have had no issues, you could consider returning to more sedentary work, but the two together in any dangerous situations would not be advised. ...Read more
I would not: This combination of medications could lower seizure threshold. ...Read more
Usually: While it is generally safe to use the medications in combination, there is a slight risk of developing serotonin syndrome. Serotonin syndrome is characterized by restlessness, diarrhea, rapid heart beat, confusion, sweating/fever, nausea/vomiting, loss of coordination, and blood pressure changes. In addition both can sedate you so you should be careful about driving. ...Read more
Yes: Yes but can both be sedating.Get a more detailed answer ›
Take Genetic Test: You might be able to take both low dose Amitriptyline and low dose tramadol for pain, depending on your genetics. You can have (cheek swab) pharmacogenomic tests done at the doctor's office (e.g. Assurex, genomind) to determine how you metabolize psychiatric and pain meds. In this way, your doctor can determine what will be a wise course of treatment. Consider tms for pain. ...Read more
I am on a low dose of tramadol. 50-100mg per day. Is it still safe to have alcohol? Just stopped taking amitriptyline last week. 10mg per day.
Not recommended: Tramadol and alcohol are depressant of the central nervous system. Mixing tramadol with alcohol could lead to drowsiness to severe depression of brain activity, coma, and ultimately death. Tramadol has a prolonged half-life about 7 hours. It is still in your system for at least 10 hours. Is not recommended. ...Read more
I have been prescribed 25mg Amitriptyline 1x daily for Fibromyalgia. I am already taking 50mg Tramadol 2x daily. I am concerned about taking them both. I would like to taper off of the Tramadol completely but am unsure how to go about it. How should I sta
Are there any dangerous interactions between neurontin, (gabapentin) tramadol, and amitriptyline?
Yes: Theoretically this combination may result in mental slowing and other related central nervous system effects. Again, in theory, concomitant use of Amitriptyline and teamadol may cause seizures and so-called serotoninergic syndrome. However, if you take the medications and have no side effects, no other actions but monitoring is required. ...Read more
I've taken 7.5mg zopiclone + 5mg Valium & 2 x 30/500 cocodamol for sleep but it is ineffective. I've now had amitriptyline & tramadol. Is this safe?
Not Safe!: It is never safe to combine these medications. Talk to your doctor about your insomnia. You need a careful evaluation in order to obtain an accurate diagnosis and appropriate treatment. Polypharmacy is never safe! We lose too many young people each year due to unintentional overdose. Be safe and work with your doctor. ...Read more
Taking tramadol 50mg, elavil (amitriptyline) 10mg both twice daily for radiculopathy pain/burning. Still constantly in pain. What else can I do/ask dr to give/incr?
Many options.: I would start with a good once a day non steroidal ant-inflammatory such as indomethacin. Could increase either elavil or tramadol although there is a potential interaction between tramadol and effexor (venlafaxine). Gabapentin or pregabalin is an option. Sometimes a muscle relaxant such as methocarbamol or cyclobenzaprine is helpful. ...Read more
Neuropathic pain: Responds to many different agents. Its important that the treatment not exacerbate (amitriptyline) nor end up being worse for you (tramadol) than the disease / condition. Serotonergic syndrome and seizures can occur with Ultram. Elavil will cause anticholinergic symptoms and may actually worsen some types of neuropathy. Venlafaxine may help but it is not a top choice in my practice. ...Read more
Is a combination of meds like tramadol, amitriptyline and Zoloft (sertraline) better for controlling nerve pain than one of the meds alone?
Depends: Presumably you're working with a neurologist or pain management specialist for neuropathic pain treatment. If not, you should see one. It is always better to treat a condition with the least number of medications and the lowest dose of each medication possible. Discuss this with your physician. Http://www. Webmd. Com/pain-management/guide/neuropathic-pain ...Read more
I'm taking 150mg of tramadol a day for sciatica which hasn't been working for me, the doctor today prescribed me 10mg of amitriptyline, is this ok?
Side effects: It can increase your risk of seizures and other issues, my suggestion is to discuss with your doctor. Also any other medications you are on may interact as well. ...Read more
Can I mix tramadol and amitriptyline? My urologist gave them to me for cystitis in my bladder and I take 200mg of tramadol a day and 1 100mg of the other medicine at night, is it still okay to take both?
Amitriptyline is medication for Depression.
Thank you for informing about use of Xanax (alprazolam).
Using amitriptyline with Xanax (alprazolam) may increase dizziness, confusion, impairment in thinking, judgment, and motor coordination.
See your Psychiatrist to discuss Diagnosis of anxiety, depression interaction of Amitriptyline and Xanax (alprazolam), benefits and side effects, decreasing the dose, and Therapy for stresses in life. ...Read more
My Dr prescribed me tramadol and flexarol, at bedtime I have pills I take daily as wel (elavil&mavik). Last night I was very lightheaded and felt sick.
Sedating medications: Elavil (amitriptylene), tramadol, and Flexeril (cyclobenzaprine) are all sedating and if taken together in someone who's not used to them could indeed make you feel ill. The Mavik (trandolapril) is a blood pressure medication which is not sedating and is not culpable here. Both tramadol and Flexeril are as-needed meds, so it is safe to reduce your own dose of these by dividing the tablets and taking 1/2. ...Read more
The reported prevalence of serotonin syndrome is unknown possibly because of underdiagnosis or misdiagnosis. However, it is a potentially life-threatening condition with symptoms that can appear from 30 minutes to 48 hours after a new serotonergic medication is taken. Any drug or combinations of drugs that induce an excess of 5-ht can cause serotonin syndrome.
Rec.: talk to your treating doctor. ...Read more
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