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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Phidippus on December 25, 2011, at 14:10:50
My most recent med cocktail includes Lithium, Latuda, Viibryd and Vyvanse.
I am adding Tramadol because I don't think Viibryd has quite the umph I need to treat my OCD.
Does this strategy make sense? I'm hoping to boost seretonin, as well as make use of Tramadol's NMDA antagonist properties. I don't care much about the weak opioid effect.
Eric
Posted by Christ_empowered on December 25, 2011, at 15:00:48
In reply to Tramadol augmentation, posted by Phidippus on December 25, 2011, at 14:10:50
I'd be scared of serotonin syndrome.
Posted by SLS on December 25, 2011, at 15:13:04
In reply to Tramadol augmentation, posted by Phidippus on December 25, 2011, at 14:10:50
> > My most recent med cocktail includes Lithium, Latuda, Viibryd and Vyvanse.
> >
> > I am adding Tramadol because I don't think Viibryd has quite the umph I need to treat my OCD.That's an interesting idea. I found several reports describing success with tramadol in treating OCD.
How did you react to memantine (Namenda)?
The concern regarding serotonin-syndrome is appropriate. You'll know it when you see it, right?
- Scott
Posted by Phillipa on December 26, 2011, at 9:39:28
In reply to Re: Tramadol augmentation, posted by SLS on December 25, 2011, at 15:13:04
Is tramadol controlled as a relative said yesterday she is on it for arthritis pain. Phillipa
Posted by Phidippus on December 27, 2011, at 8:13:59
In reply to Re: Tramadol augmentation, posted by Christ_empowered on December 25, 2011, at 15:00:48
I've gotten it before and it took a lot more than an SSRI and Tramadol to get me there.
Eric
Posted by Phidippus on December 27, 2011, at 8:17:30
In reply to Re: Tramadol augmentation, posted by SLS on December 25, 2011, at 15:13:04
I didn't react too strongly to Namenda. However, after a week of Tramadol I'm experiencing quite a few benefits. My mood is brighter, my OCD is better controlled and my concentration is better.
I have gotten serotonin-syndrome before and I was on way more serotogenic medications.
Eric
Posted by Phillipa on December 27, 2011, at 18:53:22
In reply to Re: Tramadol augmentation » SLS, posted by Phidippus on December 27, 2011, at 8:17:30
Eric really? Need something for painful arthritis and my sister-in-law is on it for that. And my ssri consumption is low as you know. It's not controlled right? Phillipa
Posted by Christ_empowered on December 27, 2011, at 18:59:14
In reply to Re: Tramadol augmentation » Phidippus, posted by Phillipa on December 27, 2011, at 18:53:22
I don't think tramadol is controlled. It might be like Soma--not controlled federally, but schedule IV in some states--but I'm pretty sure its not a controlled substance.
Posted by Phillipa on December 27, 2011, at 20:59:10
In reply to Re: Tramadol augmentation, posted by Christ_empowered on December 27, 2011, at 18:59:14
CE I have a full bottle of Soma two years old from infection control doc as related to mephbrobamate sp?. Does it help with pain? Phillipa
Posted by Christ_empowered on December 28, 2011, at 1:01:50
In reply to Re: Tramadol augmentation » Christ_empowered, posted by Phillipa on December 27, 2011, at 20:59:10
I've never taken Soma, but I read that it metabolizes into miltown, which apparently leads some people to pop it like crazy.
Posted by Phillipa on December 28, 2011, at 20:15:18
In reply to Re: Tramadol augmentation, posted by Christ_empowered on December 28, 2011, at 1:01:50
Since benzos low dose or otherwise seem not to work anymore think this could take their place? As when the panic attacks in 20's started it was Miltown and valium 5mg three times a day that worked. I eventually just stopped the miltown. Never wanted to abuse any of them. Also drank beer with them at time? Phillipa
Posted by ed_uk2010 on December 29, 2011, at 12:56:54
In reply to Re: Tramadol augmentation » Christ_empowered, posted by Phillipa on December 28, 2011, at 20:15:18
Hi PJ,
Meprobamate and related drugs are generally less effective for anxiety than benzodiazepines. I don't think you would be doing yourself any favours if you were to take these drugs instead of diazepam.
Posted by SLS on December 29, 2011, at 15:56:42
In reply to Re: Tramadol augmentation » Phillipa, posted by ed_uk2010 on December 29, 2011, at 12:56:54
> Hi PJ,
>
> Meprobamate and related drugs are generally less effective for anxiety than benzodiazepines. I don't think you would be doing yourself any favours if you were to take these drugs instead of diazepam.I have seen Phenergan (promethazine) work very well to treat anxiety.
- Scott
Posted by ed_uk2010 on December 30, 2011, at 17:41:38
In reply to Re: Tramadol augmentation, posted by SLS on December 29, 2011, at 15:56:42
>Meprobamate and related drugs are generally less effective for anxiety than benzodiazepines. I don't think you would be doing yourself any favours if you were to take these drugs instead of diazepam.
>
> I have seen Phenergan (promethazine) work very well to treat anxiety.
>
>
> - ScottPhenergan is a phenothiazine antihistamine though, it's not related to meprobamate.
Posted by SLS on December 30, 2011, at 20:29:46
In reply to Re: Tramadol augmentation » SLS, posted by ed_uk2010 on December 30, 2011, at 17:41:38
> >Meprobamate and related drugs are generally less effective for anxiety than benzodiazepines. I don't think you would be doing yourself any favours if you were to take these drugs instead of diazepam.
> >
> > I have seen Phenergan (promethazine) work very well to treat anxiety.
> >
> >
> > - Scott
>
> Phenergan is a phenothiazine antihistamine though, it's not related to meprobamate.
I know. It really works, though.
- Scott
Posted by Phillipa on December 30, 2011, at 20:41:33
In reply to Re: Tramadol augmentation » ed_uk2010, posted by SLS on December 30, 2011, at 20:29:46
I had a phenergan suppository for vomiting after surgery. Just one time dose. I think I remember reading days later the side effects of it and didn't like them at all although at the time I had it it worked for vomiting well. Phillipa
This is the end of the thread.
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