13 doctors weighed in:

All anti dep & anti anxiety meds i've checked are incompatible w tramadol. It seems Valium or adavan are my only alternative. Agree? Any I've missed?

13 doctors weighed in
Dr. Steven Reidbord
Psychiatry
7 doctors agree

In brief: Tramadol is tricky

Tramadol interacts with many meds.
Even combined with Valium or Ativan (lorazepam) there's a risk of cns/respiratory depression and psychomotor impairment. With most antidepressants there's a risk of serotonin syndrome too. If you must stay on tramadol, consider tricyclic antidepressants like imipramine. Sedation and serotonin syndrome are possible, but can be monitored by your doctor.

In brief: Tramadol is tricky

Tramadol interacts with many meds.
Even combined with Valium or Ativan (lorazepam) there's a risk of cns/respiratory depression and psychomotor impairment. With most antidepressants there's a risk of serotonin syndrome too. If you must stay on tramadol, consider tricyclic antidepressants like imipramine. Sedation and serotonin syndrome are possible, but can be monitored by your doctor.
Dr. Steven Reidbord
Dr. Steven Reidbord
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1 comment
Dr. Anne Sagalyn
you might try cymbalta instead of tramadol and kill 2 birds with one stone. effective for pain, anxiety and depression.
Dr. Alfredo Soto
Psychiatry
6 doctors agree

In brief: Disagree

While it is more likely for you to experience more sleepiness or a rare side effect called serotonin syndrome (with severe muscle stiffness and delirium), those side effects can be monitored by your doctor and the dose of the medications for your anxiety/depression can be kept low.
Theedications you listed as alternatives can have ther own side effects, including becoming addicted to them.

In brief: Disagree

While it is more likely for you to experience more sleepiness or a rare side effect called serotonin syndrome (with severe muscle stiffness and delirium), those side effects can be monitored by your doctor and the dose of the medications for your anxiety/depression can be kept low.
Theedications you listed as alternatives can have ther own side effects, including becoming addicted to them.
Dr. Alfredo Soto
Dr. Alfredo Soto
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1 comment
Dr. Alfredo Soto
It depends on what you are trying to treat for pain. Shorter acting opioids like Vicodin are in some ways safer than, say, methadone. But if the doses are low, methadone lasts a long time.
1 doctor agrees

In brief: Tramadol

It seems like you are trying to treat yourself, and you struggle with both - pain, depression, and anxiety.
There are too many enemies you are trying to fight alone. 1. There are antidepressants which could also help with pain, and you may not even need tramadol ( you probably already get used to and need more than before) 2. Tramadol may cause depression itself 3. Anxiety (anticipation of pain?).

In brief: Tramadol

It seems like you are trying to treat yourself, and you struggle with both - pain, depression, and anxiety.
There are too many enemies you are trying to fight alone. 1. There are antidepressants which could also help with pain, and you may not even need tramadol ( you probably already get used to and need more than before) 2. Tramadol may cause depression itself 3. Anxiety (anticipation of pain?).
Dr. Margarita Krasnova
Dr. Margarita Krasnova
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Dr. Alan Ali
Psychiatry

In brief: Few

Other alternatives would be buspar, (buspirone) gabitril, trileptal, or supplements such as same or java java or herbal teas.

In brief: Few

Other alternatives would be buspar, (buspirone) gabitril, trileptal, or supplements such as same or java java or herbal teas.
Dr. Alan Ali
Dr. Alan Ali
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