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Re: Savella augmenter suggestions anyone? (Update) » former poster

Posted by brynb on August 23, 2012, at 9:24:17

In reply to Re: Savella augmenter suggestions anyone? (Update), posted by former poster on August 23, 2012, at 8:54:41

> Thanks for your post Eric. I asked my Dr. for a prescription of Tramadol and he refused because he said it's "very addictive." I might give the Bupropion a try in combination with it. Do you know of any SSRI's that would go well with Savella?

Hi FP,

I just wanted to chime in again about Tramadol. A lot of pdocs won't prescribe it because it's technically not a "psych" drug. This so ridiculous; I mean if it works, it works. Who cares what it's characterized as? Yes, it's considered addictive, but again, that's nonsense; benzos are addictive, stimulants are addictive, and one can argue that SRIs and NRIs cause dependence too (it's certainly no picnic coming off of anti-depressants!).

If presented with the proper research/articles/etc., perhaps your doc would reconsider. It's an NRI that also works on the mu opioid receptors (it doesn't get you high at all) and apparently, as an NMDA antagonist, too. In working this way, it's a pretty effective AD (and good for pain).

My pdoc wanted me off of Tramadol (because I had substance abuse issues in the past), so to be a "good" patient and comply, I tapered off of it. I was surprised how easy it was (I was mildly sad for a few days, but also dealing with PMS!). I had my general internist refill my script so I could have it available and have only been using it as a prn.

Sorry for the rant, I just get incensed when doctors are too rigid in their approach to mental (or other) health issues. I'm seeing my pdoc in two weeks, and I intend to let him know how I feel about taking Tramadol.

Either way, good luck.

-b


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