Male | 25
Is it safe to mix tramadol with fluoxetine?
Hello doctor I am currently on fluoxetine 40mg since last 2 years Yesterday i had a small accident and my hand is aching a lot My physician has prescribed 50mg tramadol But i have read on google that tramadol and fluoxetine cannot be taken together Please help what to do??

Joint Replacement Surgeon
Answered on 29th Aug '24
Although fluoxetine and tramadol are both related to chemical levels in the brain, it is still not safe to mix them. In other words, their simultaneous consumption can intensify the likelihood of serotonin syndrome, a critical ailment that manifests symptoms such as confusion, sweating, and fast heartbeat. The best course of action would be for your physician to advise you on alternative pain relief options that are safe for you.
2 people found this helpful
Questions & Answers on "Orthopedic" (1233)
Hi , few days back due to extreme abdomen pain . I got an injection on my buttocks area. After few days ,I started feeling the injection area as a lump and eventually the lump size got some smaller but still after 2 months of injection,I still feel the area as a small lump . Also at times while walking and standing I feel a sort of nerve like pain throughout my leg from the injection area to the knees . May I know what can be done further ? Is the lump temporary? How can I avoid this pain ?
Female | 24
It’s not uncommon to experience a lump and discomfort after an injection, as some swelling or residual medication can occur. The lump is likely temporary, but nerve-like pain may suggest irritation in the area. To alleviate discomfort, consider applying warm compresses and gently massaging the area, if comfortable. Staying active and performing stretching exercises can also help. However, since symptoms persist, I encourage you to consult a orthopedist for a thorough evaluation. They can provide a tailored plan to address your concerns effectively and ensure proper healing.
Answered on 14th Feb '25

Dr. Pramod Bhor
Can trauma trigger or worsen rheumatoid arthritis?
Female | 38
Trauma can potentially trigger or exacerbate rheumatoid arthritis. By increasing inflammation or immune system response.
Answered on 23rd May '24

Dr. Babita Goel
I am having very sharp and constant pain shooting from my outer elbow down to my pinkie and my thumb/ index finger. It's causing tingling and numbness to those fingers. I've tried putting ice packs on it but it makes the pain worse. And a little of the ulna looks to be protruding a little bit more then my other elbow. I have it at rest at the moment and the pain is constant
Female | 44
Ulnar nerve passes through a tunnel at the elbow - the cubital tunnel. When compressed, it can lead to symptoms like pain, tingling, and numbness in the ring and little fingers. The protrusion in your ulna bone might be worsening the compression. To manage this, try keeping your elbow in a relaxed position. Avoid resting it on hard surfaces or bending it excessively. See an orthopedist for proper diagnosis and treatment recommendations.
Answered on 23rd May '24

Dr. Pramod Bhor
Hello, this is regarding a complicated problem Please let me know if a surgery is required for this or not Because different doctors said different stuff Can we cure this from physical therapy and rest?
Female | 46
Some conditions can be resolved through rest and physical therapy. Be sure to tell your doctor what you’re experiencing, such as pain or difficulty moving. Knowing the cause of the problem can help determine whether or not an operation is required. You must follow the advice of your physician regarding the most appropriate treatment for yourself.
Answered on 7th June '24

Dr. Pramod Bhor
Whenever i fastened belt and sit for office work, my eyes and face blush up & looks like such any gas is moved to my head. Hence my eyes, head feel pain & my throat dried up that i'm unable to speak. Please advise
Male | 30
Your symptoms, like red eyes, head pain, and dry throat during office work, might result from increased pressure. Poor posture or restricted blood flow could contribute. Improve your posture, take breaks, and hydrate properly. If issues persist, consult a doctor.
Answered on 5th Sept '24

Dr. Pramod Bhor
Hi Ian 23 and back pain on my left side
Male | 23
Back pain can occur for several reasons like muscle strain from improper posture or lifting heavy things wrong. Other times it can be a symptom of a more serious problem. Try using hot or cold packs on the area, gentle stretching, and taking it easy for a bit first. If the pain persists or gets worse, it's wise to get it checked by an orthopedist to find out what's the matter.
Answered on 30th Aug '24

Dr. Pramod Bhor
Why is my kneck so sore and tight?
Male | 26
Neck pain can have a variety of causes, including poor posture, stress and injury. It is important to see a doctor, an orthopedist in particular, to understand the issue and have it treated properly. Distributing the sitting time and practicing neck exercises can be another means of relieving symptoms as well.
Answered on 23rd May '24

Dr. Deep Chakraborty
Neck pain taken FNAC test...can you please look into the report
Male | 60
The report would say if there are any suspicious cells in the neck. Neck pain could arise such as poor posture, muscle strain, or an injury. The best way to get pain relief is to do some neck exercises gently, apply ice or heat, and use pain relievers. If the pain persists, you should refer an orthopedist for more advice.
Answered on 27th Nov '24

Dr. Pramod Bhor
Kulhe ki haddi Tut gayi hai meri age 76 saal hai kya operation karna sahi hoga ya nahi answer me. Please tell a suggestion
Male | 76
Generally, surgery is the first thing among older people with a broken hip that is used to help with healing and mobility. The operation may be the only way to heal the fracture by getting it back in the right place. It's crucial to have a conversation about the best treatment approach for you with an orthopedist.
Answered on 10th Oct '24

Dr. Pramod Bhor
Pain where pelvis / femur connect severe pain when I stand up.
Male | 57
You might be experiencing a lot of discomfort where your pelvis connects with your thigh bone especially when standing up. This could be due to swelling or an injury in the muscles, tendons, or ligaments around that part of the body. You should rest, put ice on it, and avoid activities that make it worse. If this does not help then go and see an orthopedist who will examine you further before giving any treatment.
Answered on 23rd May '24

Dr. Pramod Bhor
I have got burn in my ankle and i got wound.How Can i heal this fast.
Male | 25
Burns occur when skin contacts hot items like fire or boiling water. The area might be red, swollen, and painful. To heal faster, gently clean the wound, apply burn cream, and bandage it. Keep it clean and dry for a few days. If it doesn't improve or you notice pus or more pain, see a healthcare provider. But for now, keep it clean and protected.
Answered on 16th July '24

Dr. Deep Chakraborty
I am 30 yrs old girl suffering from knee pain from last few days unable to fold my leg it is kind of piercing pain .
Female | 30
Answered on 23rd May '24

Dr. Rufus Vasanth Raj
Complete ACL tear with buckling of PCL and anterior tibial translation
Male | 15
When your ACL entirely tears, and PCL gets buckled hence your tibia shifts, it's a serious issue. You might be
in pain, and swollen, with the feeling that your knee is about to give up. This typically happens due to damages that occur to the knee such as sports accidents. This may involve surgical procedures and physical therapy to help you regain your fitness and mobility. Visit an orthopedist for further treatment.
Answered on 22nd July '24

Dr. Pramod Bhor
This is Mohana, 36yrs old. I have severe lower back bone(bottom spinal cord) pain. I cannot even sit and get up, its paining a lot. I have gastric problem.My left leg knee is producing crackling sound and creating difficulty in climbing stairs
Female | 36
Answered on 23rd May '24
Dr. velpula sai sirish
I am a 43 year old female, I have been experiencing chronic lower back pain for the last 8 months, the pain feels like it is nerves, I have trouble walking and can only walk around 20 metres. I take lyrica and palexia, they do not seem to be working. This is having a huge impact in my life
Female | 43
Chronic lower back pain can have various causes, such as spinal herniation, muscle strain, or spinal stenosis. If the pain feels nerve-related and affects your ability to walk, it could indicate nerve compression or damage. If medications like Lyrica and Palexia aren't effective, consider discussing other options with an orthopedist, such as physical therapy, injections, or surgery.
Answered on 18th Oct '24

Dr. Pramod Bhor
I have pain in my hip or buttack and calf are pain
Male | 27
It is clear that you are suffering from pain in your hip or buttock and the calf comes along with pain. This may be because of a situation called sciatica, where the sciatic nerve gets irritated. Symptoms include shooting or burning pain. It is important to rest and not put pressure on the injured area, and the gentle stretching of the muscles to the point of pain is among the most likely options. Preventing activities that cause pain is also a good idea and consulting an orthopedic specialist for more suggestions is obligatory.
Answered on 19th June '24

Dr. Deep Chakraborty
Since past 2 days suffering through left leg pain with severe hip pain that's also in left side
Female | 17
Your left leg and hip may be bothering you. Pain in both of those places could be caused by something such as sciatica, which is a nerve problem. Another reason might be muscle strain or arthritis. You should rest the area that hurts, put some ice on it, and if it’s bearable, gently stretch. If this doesn’t help, you should see an orthopedist.
Answered on 13th June '24

Dr. Pramod Bhor
Bones are damage and have pain in back and spondylitis too
Female | 45
It sounds like you’re experiencing discomfort due to damage in your bones and inflammation in your spine. Common symptoms include stiffness, pain, and reduced mobility. These issues may arise from factors like wear and tear, autoimmune diseases, or previous injuries. To alleviate discomfort, gentle stretches, proper posture, and heat therapy can be beneficial. Over-the-counter pain relief may also help. However, it’s crucial to consult a orthopedist to identify the underlying causes and receive personalized treatment options.
Answered on 17th Feb '25

Dr. Pramod Bhor
Iam 21 years old male backache for 2 months and some health issues that I don't understand what should I do?
Male | 21
Back injury's roots can be different, due to incorrect body posture, overworked muscles, or stress. Any other signs you may have, including numbness or tingling in your legs, are equally important to listen to. Attempting to correct your posture, and undertake light stretching exercises, and hot or cold packs may also be beneficial for pain relief. When the pain does not diminish, it is advisable to consult an orthopedist for a second opinion and treatment.
Answered on 9th Sept '24

Dr. Deep Chakraborty
I have pain, swelling and discoloration in the palm of my right hand right under my thumb. When I woke up this morning my entire hand is now swollen and is numb and I am unable to make a fist. What should I do?
Female | 36
It sounds like you're experiencing significant discomfort, possibly due to a sprain, inflammation, or nerve-related issue. Swelling, numbness, and changes in color suggest a need for immediate attention. To manage the symptoms, try resting your hand, elevating it, and applying ice to reduce swelling. Over-the-counter pain relief may help as well. However, it's essential that you see a orthopedist for a comprehensive evaluation to determine the underlying cause and appropriate treatment.
Answered on 14th Feb '25

Dr. Pramod Bhor
Related Blogs

Painless knee-replacement in India
Here is all the information you need to know about painless knee replacement (Minimally Invasive Surgery) in India.

Overweight and Obesity: Understanding Health Impacts
Confronting overweight and obesity. Explore causes, risks, and effective strategies for achieving a healthier lifestyle. Take control today!

Hip Replacement Hospitals in India: A Comprehensive Guide
Hip pain slowing you down? Transform your mobility with India's top-rated Hip Replacement experts. Experience minimally invasive surgery, affordable costs, exceptional outcomes, cutting-edge technology, compassionate care, & proven results await!

10 Best Knee Replacement Hospitals in India
Unlock mobility and reclaim your life with leading knee replacement hospitals in India. Experience expert care, state-of-the-art facilities, and affordable solutions for your needs.

When physiotherapy is not the only option left...
Here are all the things you should know before getting a knee replacement in India
Cost Of Related Treatments In Country
Acl Reconstruction Cost in India
Bone Densitometry Cost in India
Rheumatoid Arthritis Treatment Cost in India
Spine Surgery Cost in India
Limb Lengthening Cost in India
Spinal Muscular Atrophy Cost in India
Spinal Fusion Cost in India
Arthroscopy Cost in India
Slip Disc Cost in India
Hip Replacement Cost in India
Top Different Category Hospitals In Country
Cancer Hospitals in India
Orthopedic Hospitals in India
Heart Hospitals in India
Kidney Transplant Hospitals in India
Neurology Hospitals in India
Cosmetic And Plastic Surgery Hospitals in India
Dermatology Hospitals in India
Endocrinology Hospitals in India
Ent Surgery Hospitals in India
Gastroenterology Hospitals in India
Top Doctors In Country By Specialty
Top Orthopedic Hospitals in Other Cities
Orthopedic Hospitals in Chandigarh
Orthopedic Hospitals in Delhi
Orthopedic Hospitals in Ahmedabad
Orthopedic Hospitals in Mysuru
Orthopedic Hospitals in Bhopal
Orthopedic Hospitals in Mumbai
Orthopedic Hospitals in Pune
Orthopedic Hospitals in Jaipur
Orthopedic Hospitals in Chennai
Orthopedic Hospitals in Hyderabad
Orthopedic Hospitals in Ghaziabad
Orthopedic Hospitals in Kanpur
Orthopedic Hospitals in Lucknow
Orthopedic Hospitals in Kolkata
- Home >
- Questions >
- Hello doctor I am currently on fluoxetine 40mg since last 2 ...