Posted by phidippus on August 5, 2015, at 11:32:38
In reply to Tramadol irritability/Geodon, posted by Sheilac on July 26, 2015, at 6:47:19
>I also take atarax (visitiril or Hydroxyzine) and it can help keep me from getting manic on Tramadol. But I would have to take a lot of it continuously throughout the day and it makes me sleepy. I don't think it's really a long term mood stabilizer.
Atarax is not a mood stabilizer at all but an anti-histamine. It does, however antagonize 5ht2a receptors, an attribute shared by antipsychotics.
Instead of Tramadol, ask for Nucynta, which is excellent for pain. Its an NRI and a mu-opioid agonist-it won't make you manic like the Tramadol.
I know you don't want to, but I think you should try Lithium.
Eric
poster:phidippus
thread:1080788
URL: http://www.dr-bob.org/babble/20150629/msgs/1081028.html