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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Take Amitriptyline Along With Diazepam And Tramado?

Hi can you tell me if you consider it safe to take 10 mg amitriptyline, per day, plus Diazepam and tramadol? I have Fibromyalgia, and acute muscle spasms in my neck . I have been prescribed the above but am nervous as I have never taken diazepam or tramadol before. Thanks
Fri, 30 Aug 2019
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Internal Medicine Specialist,  's  Response
Hello,

If a patient’s symptom complex is dominated by pain and sleep disturbance, use of an agent that exerts both analgesic and sleep-promoting effects is desirable for Fibromyalgia(FM).

These agents include sedating antidepressants such as amitriptyline. Opioid analgesics(tramadol) are to be avoided in patients with FM. Diazepam may help but is not considered as drug of choice in FM.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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Can I Take Amitriptyline Along With Diazepam And Tramado?

Hello, If a patient’s symptom complex is dominated by pain and sleep disturbance, use of an agent that exerts both analgesic and sleep-promoting effects is desirable for Fibromyalgia(FM). These agents include sedating antidepressants such as amitriptyline. Opioid analgesics(tramadol) are to be avoided in patients with FM. Diazepam may help but is not considered as drug of choice in FM. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist