400 mgs at bedtime) My psychiatrist thinks the
tramadol caused the mania. I know the
tramadol made it worse, but looking back I can see that I had some symptoms before the tramadol. My father was also diagnosed as bipolar, so there is family history too. Anyway, my question is, as I taper the tramadol, should I also taper the seraquell ? To the extent that the psychiatrist is correct, and the tramadol caused the mania, will I no longer need the seraquell?