First time did Tramadol XR

So for the better understanding I will give you my whole therapy which I take through the day:

sertraline 150mg lamotrigine 125mg alprazolam 1mg clonazepam 0,5mg

And today I was prescribed to opiate called Tramadol XR 50mg due to my nerve pain from my back through knee and finally pain hits in tongue.

Was prescribed with this strong drug bc ibuprofen, naproxen did not helped.

So I had deal with friends about going out and drink. I do not drink usually, maybe twice a month. But I never does alcohol on daily base.

Today in the morning I took sertraline and lamotrigine.

afternoon took 1mg of alprazolam, 5mg of diazepam, somewhere around 6PM.

And ofc, I started overanalyzing interactions, between all this stuff.

Usually reviews, research paper and drugs interaction was like this. 1. Tramadol and sertraline can cause serotonin syndrome. 2. Alcohol and benzos are both depressors. 3. Tramadol and alcohol major interaxtion side effects.

So, after all study. I took around 8PM 125mg of tramadol xr, waited two hours nothing happened. Then I realised that crushing xr tramadol can act faster. So I took more 225 mixed with water.

Started feeling more calm and experience bit of stimulation around 00:00., I was drinking vodka with tangerine x3 and one beer. But I was drinking slowly.

Then about 3 AM I felt calm, relaxed, and mid stimulated, and little dissociated.

Then went home at 6AM and felt benefits like this: 1. mid high 2. mid euphoria 3. quite stimulated 4. relaxed

And now at home I will go to sleep, but I feel more stimulated then 4-5 h ago. But also feelin sedation and dissociation, which gives me relief.

So, my plan for next time is to take smaller dose 175mg but crushed it and mixed it with water. And that means I will take half as much (175mg), and get benefits in 3-4h.

I will take this 2-3x in one month.

Just wanted to share my experience.