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Re: seizure threshold, tramadol, dexedrine

Posted by bulldog2 on June 6, 2010, at 10:07:52

In reply to seizure threshold, tramadol, dexedrine, posted by floatingbridge on June 5, 2010, at 19:38:33

> Because of seizure risk, pdoc has withdrawn the o.k. for replacing vicodin with tramadol.
>
> Using an interaction checker, both dexedrine and lithium are contraindicated (seizures).
>
> Any advice or real world experience? I could lose the 300 lithium. Dexedrine is the only thing to date that made a real difference... That would be tough to contemplate replacing.
>
> Still working on this.
>
> Any thoughts?
>
> Thanks again.

Could your p-doc consult other p-docs about this? You've been on the this combo without any problems to date. Or consult a pharmacist about this combo? I'd like to see him do a little more work on this than an interaction checker. Do some legwork to find out if there is really a danger.
If he takes you off lithium how about lamictal or trileptal?

 

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