Tramadol and psychiatric meds

It seems that tramadol has MAJOR drug interactions with all psychiatric drugs , eg. Reducing seizure threshold (lithium) , increasing risk of serotonin syndomre (SSRIs) and CNS depression with atypical antipsychotics. How do you deal with this? Is advising the patient to discuss with PCP about switching to another pain medication a viable strategy?

Source: Student Doctor Network - January 31, 2020 Category: Universities & Medical Training Authors: the5thelement Tags: Psychiatry Source Type: forums