GPT on Question 46, Sep 20
I take sertraline 100 mg daily. A friend gave me some tramadol for a bad tooth. Is that combination okay?Do not take the tramadol with sertraline unless a clinician who knows your medications specifically approves it. The combination can increase the risk of serotonin syndrome and seizures, and tramadol prescribed to someone else may be unsafe for other reasons.
If you already took it:
- •Do not take more.
- •Seek emergency help now for agitation/confusion, fever, heavy sweating, diarrhea, tremor, muscle stiffness/twitching, fast heartbeat, loss of coordination, or any seizure.
- •Otherwise, call a pharmacist, your local poison-control center (U.S.: 1-800-222-1222), or a clinician promptly for individualized advice.
For tooth pain, contact a dentist urgently—especially with swelling, fever, pus, facial swelling, or trouble swallowing/breathing. Ibuprofen and/or acetaminophen are often preferred if you can safely take them; check with a pharmacist based on your health conditions and other medicines. Do not stop sertraline abruptly.
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**Do not take the tramadol with sertraline unless a clinician who knows your medications specifically approves it.** The combination can increase the risk of **serotonin syndrome** and **seizures**, and tramadol prescribed to someone else may be unsafe for other reasons.
If you already took it:
- **Do not take more.**
- Seek emergency help now for agitation/confusion, fever, heavy sweating, diarrhea, tremor, muscle stiffness/twitching, fast heartbeat, loss of coordination, or any seizure.
- Otherwise, call a pharmacist, your local poison-control center (U.S.: **1-800-222-1222**), or a clinician promptly for individualized advice.
For tooth pain, contact a dentist urgently—especially with swelling, fever, pus, facial swelling, or trouble swallowing/breathing. **Ibuprofen and/or acetaminophen** are often preferred if you can safely take them; check with a pharmacist based on your health conditions and other medicines. **Do not stop sertraline abruptly.**
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