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Mental Health  (Expert Forum)
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ultram with celexa not a good pair?
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.

ultram with celexa not a good pair?

by brenda7253, Jul 30, 2007 12:00AM
on the pharmacy information I received with my script, ultram it stated do not take this medication if presently taking celexa. Can you tell me why, since I do take Celexa 60mg daily.

by Roger Gould, M.D., Aug 01, 2007 12:00AM
I am sorry, I do not know the answer, but you can get the answer from your pharmacist.
Member Comments (1)

by Kitty99, Aug 02, 2007 12:00AM
I see on one site it says it can cause serotonin syndrome

on site referenced possible seizure but another said the pharmacist was being overly cautious

Here are the symptoms of serotonin syndrome in case u are interested:
Cognitive effects: mental confusion, hypomania, hallucinations, agitation, headache, coma.
Autonomic effects: shivering, sweating, fever, hypertension, tachycardia, nausea, diarrhea.
Somatic effects: myoclonus/clonus (muscle twitching), hyperreflexia, tremor.

i think it is the pharmacist's job to warm you about POSSIBLE interactions.  Doesn't mean it's going to happen but you need to know what to watch for just in case.  If it really concerns you talk to your doc, maybe one the the meds can be switched for another.
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