Also, do not combine with SSRIs, or DXM, etc. etc. or your risk serotonin syndrome. Actually, I can't remember where I heard that, but it's a bad combo for sure. And I know of people who've combined an SSRI with lower therapeutic doses of tramadol for months if not years, but eventually they did end up having issues with the two.
Hi, i have read the same thing, i dont doubt there is a risk, i think it may be slight though.
So i wanted to ask you about the people who had issues combining the 2 things. But first I'm afraid i think i need to ramble on a bit to provide a bit of 'background' before i can get to the point and ask the question i would like to ask you...
I am on low dose SSRIs but I have on many occasions combined serotonin releasing substances with them without coming to any noticeable harm (Methylone, MDAI, MDMA, 4FA etc). Initially this was due to ignorance of the risk of serotonin syndrome, although it became obvious immediately that the SSRIs block all the good effects of MDMA and Methylone in particular. Over the last couple of years before i knew about serotonin syndrome I had stopped taking the SSRIs for a couple of days before any planned dosing of serotonin releasers chiefly so as i could get better effects from the recreational drugs. I know SSRIs can take weeks to leave the brain entirely, but I believe that most, or at least a lot of the 'active residues' should be eliminated in a couple of days. By sticking to this method I have been able to take MDAI occasionally with no problems whatsoever.
TBH though i have run into pretty severe problems on a couple of occasions though, but both times were due to taking stupidly large doses of drugs i beileve. I had an extremely bad headache recently by being reckless with my dosing of 4A. Not sure if that was serotonin related but it was unlike any headache I'd ever had before. On one other occassion I'd had another bad reaction by going on a binge involving a stupid mix of substances; I think it was MDPV, MDAI, MXE, and synthetic canniboids. Basically i was fucked. Again not sure if that was serotonin related.
Right I'll get to the pont now, I was recently offered a very good deal on some Tramadol so i snapped them up, totally forgetting about the serotonin thing. You talk of 'knowing people who've combined an SSRI with lower therapeutic doses of tramadol for months if not years, but eventually they ended up having issues with the two'. Please could you provide some more info as to what kind of issues they had ?
I dont plan to take Tramadol for years anyway. Just feeling the need to get nicely high occasionally ATM as I'm missing ODT pretty badly since stocks dried up recently...