Minneapolis St. Paul Mental Health Blog

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MaryAPRN.com/ Advanced Practice Psych LLC

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Addiction | Expert Feedback on the Surgeon General's Report on Addiction

Last November, the United States Surgeon General, Vivek Murthy, MD, announced the release of the first-ever report on substance use, abuse and addiction.

Dr Murthy had declared in the month preceding the release: “We are going to stop treating addiction as a moral failing, and start seeing it for what it is: a chronic disease that must be treated with urgency and compassion.”

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Mental Health | Risk of Serotonin Toxicity treating Migraines

Clinicians need to remain vigilant when prescribing tramadol, as its concurrent use with opioids poses a risk of serotonin toxicity.


Prescriptions of tramadol for the treatment of headache and other types of pain have increased in recent years. Because it was not scheduled as a controlled substance by the Drug Enforcement Administration until 2014, the misconception may remain that tramadol is a safer option with less risk of dependence and adverse effects compared with other opioids.

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