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?