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Dr. Andrew Rynne

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Does Tramadol interact with Nefazodone and Bupropion?

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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

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Posted on Fri, 5 Jan 2018 in Mental Health
Question: may i take tramadol hcl 50 mg while also taking bupropion, nefazadone, and sertraline for depression. The tramadol is for spinal stenosis.
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Answered by Dr. Alexander H. Sheppe 38 minutes later
Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

Sertraline, nefazodone, and tramadol in combination would be quite dangerous as it would greatly increase the risk of serotonin syndrome. Do not take tramadol.

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In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers
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