Generic Name: CITALOPRAM - ORAL Pronounced: (sye-TAL-oh-pram) Citalopram Oral Precautions
Before taking citalopram, tell your doctor or pharmacist
if you are allergic to it; or to escitalopram; or if you have any other
allergies. This product may contain inactive ingredients, which can cause
allergic reactions or other problems. Talk to your pharmacist for more
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
personal or family history of psychiatric disorders (e.g.,
personal or family history of suicide attempts
severe kidney disease
severe loss of body water (dehydration)
low sodium in the blood (hyponatremia)
Citalopram may cause a condition that affects the heart
rhythm (QT prolongation). QT prolongation can infrequently result in serious
Generic Name: TRAMADOL EXTENDED-RELEASE - ORAL Pronounced: (TRAH-muh-dall) Tramadol Oral Interactions
Drug interactions may change how your medications work or
increase your risk for serious side effects. This document does not contain all
possible drug interactions. Keep a list of all the products you use (including
prescription/nonprescription drugs and herbal products) and share it with your
doctor and pharmacist. Do not start, stop, or change the dosage of any
medicines without your doctor's approval.
Some products that may interact with this drug
certain pain medications (mixed narcotic agonist-antagonists
such as pentazocine, nalbuphine, butorphanol)
narcotic antagonists (such as naltrexone)
Avoid taking MAO inhibitors (isocarboxazid, linezolid,
methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline,
tranylcypromine) within 2 weeks before and during treatment with this
There has been a lot of news lately about medication overuse headaches (MOH) that may be linked to those of us who have chronic headaches each month. Do you think taking a 50mg tablet of Tramadol daily (for fibromyalgia) could be enough to cause MOH? Peggy.
Some patients can take tramadol daily without getting into a medication overuse headache. For others, that 50mg a day could cause MOH. If the tramadol IS causing you MOH, it should be relieved when you take the tramadol.
This is a rock-and-a-hard-place problem for people who have both headache and pain issues. Sadly, there's no good solution for it.
Good luck, John Claude Krusz and Teri Robert
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