Brief Answer: NO Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about the various health conditions are you currently being managed for. I hope they get to control your health and greatly improve your quality of life. The maximum recommended dose of alprazolam is 4mg per day. 6mg is definitely not a dose to consume at once or in a day. It is safe to take tramadol and alprazolam but I will not encourage you to take 6mg of alprazolam in a day or at a time. My suggestion is that you talk with your doctor about whatever changes in your symptoms that may warrant a revision of your drug dosages so that he can probe into and see what adjustments in dosages or supplementary drugs can be considered to make you fell better. I hope you find this helpful and that it addresses your query fully. Thank you so much for using our services. Please, feel free to ask for more clarifications if need be. I wish you well. Thanks. Dr. Ditah, MD.

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Brief Answer: It must have been very difficult for you. Detailed Answer: Hi Currey, Thank you so much for following up with me. Reading through the above text has shed more lights on your current condition. The deaths are many and composed of very close and dear persons to you within such a small time frame. No one would not be perturbed if faced with these many tragedies. I feel your pain, I sympathise with your loss and I understand your problems even more. There are some things we can change and others we cannot change in life. When it is something that cannot be changed, my advice is that we accept and move forward. We cannot forget or delete the past but we must not allow it to compromise the present and the future. it is normal to mourn a dear one. But, it is even more important to accept the condition and try to move on. I believe our departed loved ones would be happier knowing that we are at least happy with our lives and that would be a great way of remembering them. If they were to return, they would never feel comfortable knowing that they are responsible for this very poor state of live you are currently going through. Make it a pledge to honor them and how dear they were in your life with a happier day. Wake up everyday, dedicate it to one of these departed ones and live it exactly the same way this loved one would have loved to see you living it. I know they all meant good for you and you can only capitalise on that to move on. Please try and look for ways to motivate yourself and move forward. This would help in reducing the huge amount of medications you are consuming daily to keep going. This is going to be of great hep to you. Please, consider having a more thorough chat on various coping strategies that can help you get out of this. I hope you find this helpful. I honestly wish that by some self motivation and through various coping strategies, you can return to living an enjoyable life. Thank you using our services and feel free to keep the conversation going. Dr. Ditah, MD

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