Safety check · high priority

Two of your medicines may not be safe together

Risk of serotonin syndrome

High severity · flagged automatically on Jun 11, 2026

Taking sertraline (an antidepressant) together with tramadol (a pain medicine) raises the risk of a serious reaction called serotonin syndrome. Dr. Okafor started your sertraline on March 3, and Mercy General ER added tramadol on June 11 — neither record showed the other.

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tramadol 50 mg

Added by Mercy General ER · Jun 11, 2026

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sertraline 100 mg

Added by Dr. Okafor · Mar 3, 2026

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How this happened — the blame trail

Two providers, two systems, neither aware of the other. Because every entry is attributed, Hx can show exactly who added what, and when.

Mar 3, 2026
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Dr. Okafor started sertraline 100 mgPsychiatry · Bayview Behavioral Health

Jun 11, 2026
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Mercy General ER added tramadol 50 mgEmergency · the ER chart never saw the sertraline

Jun 11, 2026
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Hx flagged a serotonin-syndrome riskwritten to conflicts.md and committed — the analysis is versioned too

What to do

Don't stop any medicine on your own. Sudden changes can cause their own problems.
Call Mercy General ER or your regular doctor today and mention both medicines.
Get urgent help if you feel agitation, a fast heartbeat, shivering, muscle twitching, or confusion.

What you can say to your doctor “Hi, I'm taking sertraline 100 mg from Dr. Okafor, and I was just prescribed tramadol 50 mg. I'm worried about serotonin syndrome — can we review whether these are safe together?”

Prefer to just ask?

Call Hx and say “Is everything I'm taking safe together?” — it answers out loud, naming each doctor and date.

Call Hx