Bad Meds for wounded being sent back to Iraq with PTSD

Disabled soldier facing ‘stop-loss’ tour
By Tom Philpott, Special to Stars and Stripes,
European edition, Saturday, June 21, 2008


One day last August, while manning the .50-caliber gun atop his a Humvee on a dirt road in northern Iraq, Army Spc. Daniel "Joey" Haun suddenly lost consciousness. His vehicle had been struck by a buried bomb, an "improvised explosive device." Haun was ejected, his vehicle flipped over.

On impact with the ground, Haun’s left hand was driven up toward his forearm, crushing his wrist. The surgeon who rebuilt the wrist, using a metal plate and screws, told Haun last year that his infantry days were over.

The blast also blew out Haun’s right ear drum, which required surgery to partially restore his hearing. That surgeon warned him to avoid sustained exposure to any loud noises or risk having to wear a hearing aid.

As to head injuries, a neurologist diagnosed the 24-year-old with post-concussive syndrome and mild traumatic brain injury, the likely cause of his daily headaches since the attack. Finally, a psychologist urged Haun to get counseling for his post-traumatic stress symptoms or they could devolve into post-traumatic stress disorder, a more debilitating condition. So while recuperating in a wounded warrior unit at Schofield Barracks, Hawaii, Haun regularly saw a psychologist. He takes the drug Tramadol for his migraine headaches and Elavil, an antidepressant, to ease his stress.
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http://www.stripes.com/article.asp?section=104&article=55687


Pay attention to this one really well,,,,

Tramadol
Generic Name: tramadol (TRAM a dol)
Brand Names: Ultram, Ultram ER

What is tramadol?
Feedback for Tramadol
Tramadol is a narcotic-like pain reliever.

Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.

Tramadol may also be used for other purposes not listed in this medication guide.
Be careful if you drive or do anything that requires you to be awake and alert

Important information about tramadol
You should not take tramadol if you have ever been addicted to drugs or alcohol.
Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.

Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:
a history of drug or alcohol addiction;
a history of epilepsy or other seizure disorder;
a history of head injury;a metabolic disorder; or
if you are also taking an antidepressant, muscle relaxer, or medicine for nausea and vomiting.

Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:
kidney disease;
liver disease;
a stomach disorder; or
a history of depression, mental illness, or suicide attempt.
http://www.drugs.com/tramadol.html
Elavil
Generic name: Amitriptyline hydrochloride

Why is Elavil prescribed?Return to top
Elavil is prescribed for the relief of symptoms of mental depression. It is a member of the group of drugs called tricyclic antidepressants. Some doctors also prescribe Elavil to treat bulimia (an eating disorder), to control chronic pain, to prevent migraine headaches, and to treat a pathological weeping and laughing syndrome associated with multiple sclerosis.
Special warnings about ElavilReturn to top
In clinical studies, antidepressants increased the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders. Anyone considering the use of Elavil or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Elavil is not approved for treating children less than 12 years old.

Additionally, the progression of major depression is associated with a worsening of symptoms and/or the emergence of suicidal thinking or behavior in both adults and children, whether or not they are taking antidepressants.
Individuals being treated with Elavil and their caregivers should watch for any change in symptoms or any new symptoms that appear suddenly—especially agitation, anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal thinking or behavior—and report them to the doctor immediately. Be especially observant at the beginning of treatment or whenever there is a change in dose.

Do not stop taking Elavil abruptly, especially if you have been taking large doses for a long time. Your doctor probably will want to decrease your dosage gradually. This will help prevent a possible relapse and will reduce the possibility of withdrawal symptoms.

Elavil may make your skin more sensitive to sunlight. Try to stay out of the sun, wear protective clothing, and apply a sun block.

Elavil may cause you to become drowsy or less alert; therefore, you should not drive or operate dangerous machinery or participate in any hazardous activity that requires full mental alertness until you know how this drug affects you.
While taking this medication, you may feel dizzy or light-headed or actually faint when getting up from a lying or sitting position. If getting up slowly doesn't help or if this problem continues, notify your doctor.

Use Elavil with caution if you have ever had seizures, urinary retention, glaucoma or other chronic eye conditions, a heart or circulatory system disorder, or liver problems. Be cautious, too, if you are receiving thyroid medication. You should discuss all of your medical problems with your doctor before starting Elavil therapy.
Before having surgery, dental treatment, or any diagnostic procedure, tell the doctor that you are taking Elavil. Certain drugs used during surgery, such as anesthetics and muscle relaxants, and drugs used in certain diagnostic procedures may react badly with Elavil.
http://www.pdrhealth.com/drugs/rx/rx-mono.aspx?contentFileName=Ela1155.html&contentName=Elavil&contentId=201

Do you really think someone on these medications should be given a gun and sent back to Iraq, into the sunny Iraq in the Summer? I am not a doctor but since I had never heard of these two, I decided to look them up online. Maybe it would have been a good thing if the doctor did the same? Ya think!