What Causes Joint And Muscle Pain While On Tramadol?
How do I get off Tramadol and should I take both together while weaning off! Thank you! My case number is XXX000000
Taper off tramadol and start cymbalta
Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic for your health concern
Since you are only on 150 mg of tramadol, stopping the medication should not cause severe side effects. You can reduce 50 mg of tramadol per week until you are completely off the medication. During the last week when you are just on 50 mg tramadol, you can start with 20 mg of Cymbalta. It is important that the two medications in combination should be taken at low doses to prevent serotonin syndrome.
Then, when you are completely off tramadol, dose.of cymbalta can be increased to 20 mg twice daily and then to 60 mg once daily if needed.
Hope this answers your question
Please address further questions here
Regards
Dr.Lekshmi
Only thing I am concerned about and again thank you!
Follow up answer
Detailed Answer:
Hello again and you are welcome!,
Mild increase in blood pressure is a very rare side effect of Cymbalta. Most people do pt develop this problem.
It is safe for you to start Cymbalta as I mentioned in above answer. Just monitor your blood pressure while on Cymbalta. You will most likely do not have an increase in Blood pressure.
Hope this answers your question
Please let me know if you need further clarifications
Regards
Dr.Lekshmi