On many meds, need help, please

[MatthewMouse]

Hi,
I guess you'd say I'm one complicated person. I am on multiple meds in which I will list. I was just prescribed Tramadol and I am worried about its interaction with Cymbalta and if I should ask my Dr to switch to Codiene. ( does codiene always come w/ tylenol?)

Medications (I have bipolar, ocd, anxiety, bpd, high blood pressure , diabetes , neuropathy, pain, etc)

1. Abilify 30 mgs (bipolar)
2. Tylenol 500 mgs (pain)
3. Amlodipine Besylate 10 mgs (htn)
4. Insulin 86 units (diabetes)
5. Benztropine mesylate 1 mg (side effects)
6. Klonipin 2 mgs (anxiety)
7. Flexerel 10 mgs (spasms)
8. Cymbalta 90 mgs (pain/bipolar depress.)
9. Lasix 20 mgs (swelling)
10. Glimepiride 4 mgs (diabetes)
11. Hydrochlorothiazide 12.5 mgs (htn)
12. Norco (Hydrocodone/apap)5/325 (pain)
13. Lisinopril 40 mgs (htn)
14. Lyrica 600 mgs (nerve pain)
15. Metformin 1000 mgs (diabetee)
16. Aleve 500 mgs (pain)
17. Omeprazole 20 mgs (gerd)
18. Triliptal 600 mgs (bipolar)
19. Sereqiall 200 mgs (sleep)
20. Simvastatin 20 mg (lipids)
21. TraGenta 5 mgs (diabetes)
22. Tramadol 50 mgs (pain)

Yes, I know I am on a lot of meds but I have multiple conditions that my doctors need to treat. My main concern is the Tramadol mixing with the Cymbalta and causing seritonin syndrome.

Do you think that I should ask my doctor if I can be put on Codien instead of Tramadol because of my concerns with ss? I don't want to insult my doc and I don't want to seem like I'm pushing for something stronger.

Any advice

Ps if you would refrain from making comments on the shit load of meds km on I'd appreciate it. I know it's alot but I'm dealing w/ a lot. Ty

 

[Papaverium]

Greetings! ^^

I don't feel that your doctor would exactly take it the wrong way. I mean, I'm not in your shoes or your docs shoes but asking for codeine instead of tramadol in order to avoid possible serotonin reuptake interactions seems completely reasonable to me.
If you were asking for something like percocets, then I would feel kinda wary if I were your doc, but codeine and tramadol are very similar in strength and with codeine's lack of effect of serotonin, it really does seem like it may create a safer option for you.

It never hurts to ask
I hope you find the answers you need!

 

[Lady_Chemist]

I think it's a reasonable request. Is there a reason why you don't want your norco adjusted instead of adding an additional med that might cause a negative drug reaction?

 

[DamianIdiditall4u]

Man, you're on almost as many meds as I am...

 

[jrfitz]

Instead of naming a drug to change to I would just say that you are scared of the interaction and if there is something else he can put you on. Usually if you mention the name of a drug the doctor will "red flag" you but simply saying that you are scared of the interaction and simply asking for something different is a better way to go about it.