Just had shoulder surgery on my rotator cuff 4 weeks ago. Still in a great amount of pain daily. Doctor says he can't prescribe percecot or hydrocodone anymore, so he's giving me tramadol. I just started Zoloft 4 days ago and it interacts with the tramadol. What else can I take that will help? I'm misable!!
I’m really surprised he’s giving you tramadol. Tramadol is the most likely of all pain killers to cause serotonin syndrome when combined with an antidepressant. That’s due to the SNRI properties of tramadol.
Now, if you’ve only been on Zoloft for 4 days, then one option might be to stop the Zoloft and just take tramadol. Tramadol has a decent antidepressant effect due to the SNRI. That is something to discuss with your doctor when you “remind” him of the interaction between Zoloft and tramadol :)
You can’t take NSAIDs due to the interactions, so really, the safest option is plain old Tylenol. Perhaps he could prescribe Tylenol 3? That should give you relief without much worry about serotonin syndrome?
Good luck and hope you feel better soon!
You don't say why you are on Zoloft. If the cause is something you can live with for a few weeks The I would ask your doctor if it's ok to stop the Zoloft temporarily.
if you are still in that much pain I would honestly call the surgeon for the shoulder and explain in detail how bad your pain is for example is it keeping you awake at night etc. Also let him know that the pain is affecting your quality of life right now. I have had shoulder surgery and it takes a while to recover from and I personally feel that you should still be given at least hydrocodone because that’s the lowest opioid pain medication there is other than the Tylenol threes which is codeine but that it’s rarely prescribed anymore and the tramadol which you cannot take . He honestly needs to give you at least the lowest dose of hydrocodone is the 5 mg then there 7.5 mg and 10 mg. Obviously Percocet is stronger than hydrocodone. just be honest and express to his nurse how the pain is affecting you and that you still need hydrocodone.
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