Question

A 47-year-old woman on sertraline develops low mood relapse. She is also taking sumatriptan for migraine and is requesting tramadol for back pain. What is the safest analgesic plan?

Accepted Answer

Prescribe naproxen with PPI

Answer

Prescribe tramadol PRN

Answer

Prescribe codeine PRN

Answer

Switch sertraline to fluoxetine and give tramadol

Answer

Add amitriptyline 25 mg nocte and tramadol

Practice question

A 47-year-old woman on sertraline develops low mood relapse. She is also taking sumatriptan for migraine and is requesting tramadol for back pain. What is the safest analgesic plan?