drug interactions

[tia77]

Hi i am takine amtriptyline .10 for pain from fibro/ lupus.  doctor told me to add ultram .50 for breakthrough pain.  I heard there was a risk of seizures but the doctor said it was ok.  I also take toprol and synthroid.  Any thought on taking these together?  Thanks for any imput.  

[tia77]

Sorry forgot to mention both the doctor and when I said something to the pharmacist she said it was ok.  I just went up to the booth when I was picking up the amtriptyline and said I have an old rx for ultram and the doctor said It was ok to take with the amtriptyline and she said yes.  Then of course I come home and put it in the computer where I keep all my prescribtions for any recalls and it comes up it may cause seizures.  I am guessing if you are on a very high does of amtriptyline but I only take .10-.20 so that is very low.  It is used for pain managment and not for depression.  I think if you use it for depression you get it in a lot higher of a does.  I guess I just want to be sure nothing will happen.  

[designgyrl0112]

Please call your pharmacist and ask them.  They are the best at telling you if something will not go well together. I have in the past taken amitriptolene,ultram and synthroid together but never the toprol.  The parmacist normally will look at reactions while filling your prescriptions, that is why it is always a great idea to go to the same pharmacy every time, so they know exactly what you are taking.  Good luck,hope you feel better soon.