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Is the ciparalex safe to take with naproxen, tramadol, paracetamol for herniated disc?

Hi at present I take naproxen 500mg twice daily, tramadol 50 mg x2 four times daily, paracetamol 500mg x2 four times daily for herniated disc and disc degeneration , I also take levothyroxine 100mg once daily and have just started cipralex 10mg once daily , is the cipralex safe to take with all the other medication I am on ? as I feel alot drowsier than normal since I have been taking cipralex . Thank you .
Asked On : Sun, 28 Apr 2013
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General & Family Physician 's  Response
thanks for using health care magic.

Ciparalex contains the active ingredient escitalopram which is in the
group of medications called selective serotonin reuptake inhibitors
(SSRIs). It is used to treat depression, and generalized anxiety

Like most psychiatric drugs, it has a wide range of drug interactions
including the following;
alcohol, tramadol, nonsteroidal anti-inflammatory drugs including
aspirin, paracetamol and naproxen, cimetidine, erythromycin,
fluconazole, imipramine, ketoconazole, lithium, MAO inhibitors
(e.g., selegiline, moclobemide, phenelzine, tranylcypromine),
tricyclic antidepressants, omeprazole, etc.

Prescription of drugs should be done by a doctor and you always
let the doctor to know that you are on ciparalex and depending on
your situation, he might adapt the way you will take both drugs or
allow you to take them.

Hope this helps you.
Dr Achuo
Answered: Mon, 29 Apr 2013
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