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need advice please

Posted by floatingbridge on May 29, 2010, at 16:52:53

I'm requesting my pdoc transition me to ultram.

I'd like input on switching from pristiq. (I'm sure my pdoc will have his own method. I want to be informed on my end.)

My assumption is that I would taper pristiq down to maybe 25mg. and initiate
tramadol IR at a low dose (and discontinue pristiq).

Ultimately, I would like to be on the xr version.

Currently my cocktail is this:
Pristiq 50mg
Dexadrine 45mg
Xanax CR 0.5 mg
Hydrocodine 15mg
Lithium 300mg
Lunesta 3mg or sonata 5mg as needed

Will the Xanax or zmeds pose a problem?
Lithium?
(The hydocodine would be reserved as emergency Med.)

I have read and read and have finally
and officially been advised that my pain
could be well treated by tramadol.

I have done well (in the past) on effexor.

Is there anything I've overlooked?

Has anyone done an AD transition like this before?

Your input is greatly appreciated.


MDD currently controlled. C-ptsd and comorbid health concerns. Chronic fatigue.

 

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poster:floatingbridge thread:949421
URL: http://www.dr-bob.org/babble/20100524/msgs/949421.html