By continuing to view the drug information, you agree to abide by such terms of use. The display and use of drug information on this site is subject to express terms of use. Kelsey carries multiple years of experience working in the substance abuse and mental health treatment field. Find out if your benefits cover the cost of mental health treatment.Fill out our online form for quick answers. Bring your full medication list so the team can act fast. Do not use tramadol with an MAOI or within 14 days of stopping one.
This steady network makes it easier to follow safer medication plans, notice side effects early, and reach out for help the moment something feels off. Because tramadol affects serotonin, it is important to spot warning signs early. While there is not a specific prohibition against using ibuprofen with tramadol, NSAIDs carry their own risks such as stomach bleeding and kidney strain.
- Anyone using tramadol that seems too sedated or nonresponsive needs your help.
- The risk of side effects is greater if naproxen is overused.
- Although rare, use of acetaminophen has been reported to lead to liver transplantation and death, usually at high doses and when multiple acetaminophen-containing products have been used.
- If you suspect an overdose, seek medical help immediately to mitigate these consequences.
- In the U.S., you can report side effects to the FDA at /medwatch or by calling 800-FDA-1088.
- Preoccupation with achieving adequate pain relief can be appropriate behavior in a patient with poor pain control.
Tell your healthcare provider if you are or plan to become pregnant. Tell your healthcare provider if you have any of the following. This will help them determine if tramadol is right for you. Talk with your healthcare provider if you have any concerns.
How Buckeye Recovery Network Supports Safe Medication Use
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. Tramadol belongs to the group of medicines called opioid analgesics (narcotics). A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
Tramadol Drug Interactions & 5 Medications to Avoid
All patients treated with opioids require careful monitoring for signs of abuse and addiction, because use of opioid analgesic products carries the risk of addiction even under appropriate medical use. Many of these cases were reported in patients taking another drug labeled for QT prolongation, in patients with a risk factor for QT prolongation (e.g., hypokalemia), or in the overdose setting. Mothers who are breastfeeding should not take, Ultram ER, and Conzip because the infant may develop side effects, and will develop symptoms of withdrawal and difficulty breathing. Ultram, Ultram ER, and Conzip are not a nonsteroidal anti-inflammatory drugs (NSAIDs), and do not have the increased risk of stomach ulcers and internal bleeding that can occur with NSAIDs. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.
A quick spray of an opioid antagonist in the nose could help a person regain consciousness in seconds. Doctors consider serotonin-based therapies crucial in treating mental health challenges. When levels are too low, people may develop mental health challenges, such as depression, obsessive-compulsive disorder or anxiety disorders. Combining opioids with other substances can make them even more dangerous. Very high doses can lead to respiratory suppression, and this can be fatal. Opioids like tramadol can sometimes be dangerous when taken alone.
Does tramadol interact with foods or drinks?
This can be harmful or prevent the drug from working well. An interaction is when a substance changes the way a drug works. This information is not a substitute for medical advice.
- Get emergency help right away if you have any of the following symptoms.
- We build treatment around evidence-based therapies and real community connection, and we keep families involved with updates and education so everyone understands how medications fit into care.
- A household spoon is not an accurate measuring device and may cause you to take the wrong dose.
Drug Interactions
Ultram, Ultram ER, and Conzip (tramadol) is a pain reliever (analgesic) similar to morphine used to manage moderate to moderately severe pain. This is a big drop from the 40% of people who commonly experience side effects with tramadol. More importantly, only 10% of people prescribed tramadol experience significant side effects. If longer-term treatment is needed, the dose will be gradually tapered (rather than abruptly stopped) when the drug is no longer needed. Even so, both drugs pose significant risks if used in excess. Naproxen tends to cause fewer side effects, although some people are more sensitive to the drug.
Other warnings
A household spoon is Tramadol interactions not an accurate measuring device and may cause you to take the wrong dose. Use an accurate measuring device to measure your dose if you are using a liquid formulation. Slow or shallow breathing that can lead to death may occur. Your pharmacist can tell you all of the ingredients in the specific tramadol products they stock.
You should always consult your doctor or another healthcare professional before taking any medication. There are other drugs available to treat your condition. You may need to have blood tests during your treatment with tramadol. You or your pharmacy may have to contact your doctor for a new prescription if you need this medication refilled. A prescription for this medication is refillable.
GENERIC NAME: TRAMADOL – ORAL (TRAH-muh-dall)
Any sedating medication can make you feel sleepy and slow. Someone losing too many fluids is also flushing salt from the body. Diuretics can help the body remove excess fluids. When you’re holding in too much fluid, painful swelling in the legs and hands can appear. Water makes up about 60% of an adult’s body weight. If someone relapses to opioid misuse, they won’t get high.
These include slowed breathing, decreased heart rate, decreased blood pressure, or confusion. All possible dosages and drug forms may not be included here. This dosage information is for tramadol oral tablet. They may also adjust your tramadol dosage as needed. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist.
The safest move is to ask your clinician which single over-the-counter option fits your situation and how to time doses. The bigger safety issue with acetaminophen is dose stacking, since too much in one day can injure the liver. On the flip side, enzyme inducers may lower tramadol’s benefit. Always tell your clinician about any current or recent antidepressants before starting tramadol. Taking tramadol while on an MAOI, or within 14 days of stopping one, is unsafe.
Tramadol Interactions
This may not be a complete list of medicines that can interact with tramadol. Tell your healthcare provider about all medicines that you take or have recently taken. Many other medicines may alter the blood levels of tramadol. Do not drink alcohol or use prescription or over-the-counter medicines that contain alcohol.
Using narcotics for a long time can cause severe constipation. If any contain acetaminophen or tramadol, check with your doctor. These reactions can be life-threatening and require immediate medical attention. This medicine may cause serious allergic reactions, including anaphylaxis, angioedema, or certain skin conditions (eg, Stevens-Johnson syndrome, toxic epidermal necrolysis). Check with your doctor right away if you or your child have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. Children may be especially sensitive to this effect (eg, serious breathing problems, death).
Always follow healthcare provider recommendations for pain management. Several opioids, such as oxycodone, morphine, and hydromorphone, are considered stronger pain relievers than Tramadol. Consult a healthcare provider if you suspect a UTI for proper diagnosis and treatment. Discuss concerns with a healthcare provider regarding specific interactions or conditions. It interacts adversely with certain medications, like MAOIs and SSRIs, and should be avoided in those cases. Call your doctor for medical advice about side effects.
Studies in women breastfeeding have demonstrated harmful infant effects. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tramadol and acetaminophen combination in the elderly. Severe breathing problems and deaths have been reported in some children who received codeine after tonsil or adenoid surgery. For non-prescription products, read the label or package ingredients carefully. This medicine is available only under a restricted distribution program called the Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program.