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from drugs.com interaction checker:

Talk to your doctor before using FLUoxetine and traMADol. This can cause altered consciousness, confusion, poor muscle coordination, abdominal cramping, shivering, pupillary dilation, sweating, high blood pressure, and high heart rate. If you take both medicationstogether, tell your doctor if you have any of these symptoms. You may need a dose adjustment if you take both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Ibuprofen ↔ fluoxetine

Applies to: ibuprofen, fluoxetine

Talk to your doctor before using ibuprofen together with FLUoxetine. Combining these medications can increase the risk of bleeding. The interaction may be more likely if you are elderly or have kidney or liver disease. Call your doctor promptly if you experience any unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, dizziness, or weakness during treatment with these medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

fluoxetine ↔ gabapentin

Applies to: fluoxetine, gabapentin

Using FLUoxetine together with gabapentin may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

lorazepam ↔ tramadol

Applies to: Lorazepam Intensol (lorazepam), tramadol

Using LORazepam together with traMADol may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

gabapentin ↔ tramadol

Applies to: gabapentin, tramadol

Using gabapentin together with traMADol may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with these medications. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Three different groups of tablets and not all meant to be taken together. If your pain is that bad then you need medical intervention, mush better than killing off your liver over a period of time. Paracetamol and ibuprofen are often taken in dental pain on a alternative basis. Take paracetamol at 2pm and Ibuprofen at 4pm and so on, but only for a short period of time without medical advice. Both Boots and Nuromol are a mixture of the two and are sold over the counter in any pharmacy. I would guess the Tramadol was not prescribed for you otherwise you definitely would not have thrown it into the mix at all. Hopefully you liver on this occasion will recover from the hit it has had, but if you are unsure about how you feel you should contact your Dr or A&E and ask for some proper advice.

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Taking...gabapentin, ibuprofen, lorazepam, fluoxetine, paracetamol and tramadol?

taking...gabapentin, ibuprofen, lorazepam, fluoxetine, paracetamol and tramadol I have clinical depression anxiety issues, have had these for 15 years and is fairly under control with the fluoxetine and lorazepam....but for 3 years now I have had back pain that is gradual getting worse and...

Gabapentin And Ibuprofen

I would consult with your doctor sooner rather than later.

Fluoxetine is contra indicated with the use of Tramadol as it can lead to serotonin syndrome. I don't know about the rest but just the fact you are taking this mix concerns me.

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If the medication isn't working speak to your doctor or/and get a second opinion.