Re: Tramadol and Citalapram
This is what I found:TRAMADOL may interact with CITALOPRAM (in Celexa)
Both citalopram and tramadol have an effect on serotonin, a chemical that is found in the brain. Excess levels of serotonin in the brain may cause serious or potentially life-threatening side effects. Early signs of this problem include increased confusion and restlessness. Other possible symptoms may include weakness, fever, nausea, and anxiety. In rare cases, high levels of serotonin in the brain may cause severe complications like seizures, stroke, and even death. If citalopram and tramadol are used together, your doctor may want to closely monitor you for side effects. Ask your healthcare provider about these drugs and this potential interaction as soon as possible.
This interaction is poorly documented and is considered major in severity
I would suggest that you call your doctor and tell him of your concerns and ask for Lortab. I didn't do well with tramadol and have been taking Lortab for two years now. I take lyrica for PN, ativan (1mg) at bedtime to sleep, lexapro for depression/anxiety, it seems to be a balancing act to find the right combinations that work. Unfortunately that may take time, I am like you however and I wouldn't want to play with a side effect like that. Good luck and I hope you find what works for you soon.