Posted by brynb on July 25, 2012, at 18:14:45
In reply to Re: Tramadol withdrawal - HELP!, posted by underthesky on July 25, 2012, at 17:05:09
> > Can you take both maybe prozac as that is know to help withdrawal? Phillipa
>
> I googled that and yes some people are saying it has helped opiate withdrawal specifically, but I can't find many people who used it for Tramadol.
>
> Is this safe to switch to when I'm still on 75mg of Tramadol? Some people I've read are taking 300-400mg of Tramadol and an SSRI, which is high compared to me, but just want to be sure and safe.
>
> Does it also have to be Prozac or can it be any SSRI antidepressant?
>Hi there,
Sorry you're having a rough time--withdrawal is awful. So yes, you can safely use Prozac (or any SRI) with low doses of Tramadol. (Remember though, SRIs take a few weeks to kick-in.) I currently take 50mg of Tramadol w/ 20mg of Lexapro and 300mg of Lithium. Taper slowly (75-50-25-12.5). A benzo used as a prn might be helpful. I'm not sure if your doc would do this, but if it's really difficult, Subutex or Suboxone would help (it's used for opiate withdrawal and is a good antidepressant on its own) BUT if taken too long, you'll have to withdraw from that, so it's probably not ideal.
Good luck.
-b
poster:brynb
thread:1022113
URL: http://www.dr-bob.org/babble/20120718/msgs/1022122.html