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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Sheilac on July 26, 2015, at 6:47:19
I've been very stable on 120mg of Geodon, plus I take 10mg Adderall XR. Raising my Geodon helped me use Adderall, which I need.
Now, I have a few painful conditions which, maybe 3 days a week might require a pain med. Docs won't RX hydrocodone anymore, so they give Tramadol.
Tramadol works for my pain, but it causes severe irritability in my mood.
I also take atarax (visitiril or Hydroxyzine) and it can help keep me from getting manic on Tramadol. But I would have to take a lot of it continuously throughout the day and it makes me sleepy. I don't think it's really a long term mood stabilizer.
I can try raising my Geodon, which kind of scares me. It freaked me out going to 120mg. Or I could add at least 500mg or more of daytime Depakote, which makes me fat and bloated and I don't think 500mg keeps me stable.
Anyone have any ideas? I also have Klonopin to take as needed. But it can depress me.
I have to discuss this situation Monday with my doctor.
I have a feeling she'll say to up Geodon and add Depakote.
Any other ideas I can discuss with her?
The Tramadol high is nice, but the irritability is terrible.
I've been stable for so long until Tramadol.
Posted by Christ_empowered on July 26, 2015, at 6:56:01
In reply to Tramadol irritability/Geodon, posted by Sheilac on July 26, 2015, at 6:47:19
I don't think you're supposed to take ultram with antipsychotics. I could be wrong, but...yeah, I think its a no go.
Posted by phidippus on August 5, 2015, at 11:32:38
In reply to Tramadol irritability/Geodon, posted by Sheilac on July 26, 2015, at 6:47:19
>I also take atarax (visitiril or Hydroxyzine) and it can help keep me from getting manic on Tramadol. But I would have to take a lot of it continuously throughout the day and it makes me sleepy. I don't think it's really a long term mood stabilizer.
Atarax is not a mood stabilizer at all but an anti-histamine. It does, however antagonize 5ht2a receptors, an attribute shared by antipsychotics.
Instead of Tramadol, ask for Nucynta, which is excellent for pain. Its an NRI and a mu-opioid agonist-it won't make you manic like the Tramadol.
I know you don't want to, but I think you should try Lithium.
Eric
Posted by Sheilac on August 5, 2015, at 14:02:38
In reply to Re: Tramadol irritability/Geodon » Sheilac, posted by phidippus on August 5, 2015, at 11:32:38
Thanks Eric. I tried lithium years ago for a six month stretch and I had a nodule grow (and byopsied) on my thyroid. After that my pdoc said no more lithium.
Lithium made me feel great for about 4 days, then it just depressed me. But after the thyroid byopsy, I was fine with leaving lithium behind. Plus, I can't take antidepressants (which I would have needed with lithium) because they cause severe bladder pain. I have Interstitial Cystitis.
Posted by phidippus on August 5, 2015, at 17:48:53
In reply to Re: Tramadol irritability/Geodon » phidippus, posted by Sheilac on August 5, 2015, at 14:02:38
Don't most mood stabilizers leave you depressed?
Eric
This is the end of the thread.
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