Antidepressents + Tramadol/Codeine

[Scionis]

Sorry if this has been asked but I need some advice here. I felt suicidal today like I have for the past 2 weeks or so so I took 50mg setraline + 100mg tramadol SR + 400mg codeine over 4 hours today. I felt weird, nauses and sleepy, hot, sweaty, jittery but not suicidal anymore. That was 6 hours ago, but an hour ago I took 50mg tramadol and 200mg codeine and I feel the same symptoms but not suicidal and mentally i feel very good, which is abnormal for me as I'm seriously depressed these days. This is prolly a no brainer but should I stop combining the tramadol with the anti depressants? I'm aware of the risk of serotinin syndrome as well. Tomorrow I was also planning to take 75mg effexor with 100mg tramadol + codeine, I take it this is a bad idea? As someone who is on the verge of mental breakdown, I'm trying anything at this point to stop me from killing myself.

 

[belarki]

Hi Scionis,

If I were you I wouldn't take tramadol with either zoloft or effexor for the reasons you stated without discussing it with your doctor first (increased risk of serotonin syndrome &/or seizure). What are your normal prescribed doses of zoloft/tramadol/effexor/codeine and how long have you been on each of them?

Are you doing a cold water extraction on the codeine, are they pure codeine pills or do they contain ibuprofen or paracetamol? If they contain paracetamol and you've eaten that many pills without an extraction then you need to get to a hospital as soon as possible!

http://en.wikipedia.org/wiki/Paracetamol_toxicity

Have you used codeine or other opiates much before? "I felt weird, nauses and sleepy, hot, sweaty, jittery but not suicidal anymore" sounds like a typical opiate high, but I wouldn't discount the nausea and sweatiness being an interaction with the antidepressants and tramadol though?

Can I ask you to please check out this support thread over in the dark side forums? At least just read the first post, there's some wonderful advice in there.

Do you have family or friends you could call to talk to? Perhaps lifeline, they have a crisis support line?

http://www.lifeline.org.au/

13 11 14

 

[S.M.F.G]

Hey Scionis

i'm on the codiene/tramadol mission right now have been for a few days. I'm also perscribed an antidepressant trycilic "amitriptyline".
for my 2 cents i would probbably avoid the anti depressants whilst doseing on the tram/codeine. Ami makes me drowsey and kills any op8 buzz but does increase the effect of benzos.

On a HR point of view, I strongly suggest that you check out the above thread that Belarki suggested, u seem to be in a bad spot and TDS is a gr8 place to post for support esp if u r experiencing suicidal idealogy.

hope shit gets better 4 u hey
nothings that bad its worth takin ur life over....
PM me if u eva wanna elaborate or want someone to talk to one on one or just listen... I'm not in the best of positions to help, i got my own shit goin on (as much of us do) but always happy to listin and offer what advice i can