I started this after knee replacement surgery, for the other knee, and impinged shoulder nerve, and back pain. When I had my surgery,
vistaril (hydroxyizine) was used as an adjunct to post op opioidd, as it potentiates the opiods, making them work better. I continued to take vistaril 25 mg with the ultram. Maybe once every couple of months I will get a jerk sensation. Bit if I am feeling jumpy, I take another vistaril and it calms me right down. I also take wellbuttin sporadically.