A Cochrane analysis concluded that there is only modest information about the use of tramadol in neuropathic pain, coming from small, largely inadequate studies with potential risk of bias [134]
Add that to a GLP-1 prescription and you have a recipe for success
This has been highlighted by the Australian Therapeutic Goods Administration (TGA), which has released a Medicines Safety Update with new warnings to be added to the product information of this class of drugs about risks during anaesthesia or deep sedation
They can also guide you on the next steps, whether that means adjusting your medication or seeking in-person care
Citation: Pickart L, Vasquez-Soltero JM, Margolina A
Thyroid medications (e.g., levothyroxine) Some evidence suggests that ALA may interfere with thyroid hormone activity, potentially reducing the effectiveness of these medications when taken together