i have currenty been taking aprazolam 0.5mg 3x daily and tramadol50mg 2tabs 3x daily as well as 1 hydrocodne at night is it okay to mix these medicines?
The "Major" interaction was between these 2 (of the 3) medications you inquired about. I copied this information for you. The warnings between the alprazolam and the other meds was "Moderate" as they act as a respiratory suppressant and should be monitored. My best wishes,
. "hydrocodone ↔ tramadol"
Applies to: hydrocodone, Ultram (tramadol)
GENERALLY AVOID: Concomitant use of tramadol increases the seizure risk in patients taking other opioids. These agents are often individually epileptogenic and may have additive effects on seizure threshold during coadministration. CNS- and respiratory-depressant effects may also be additive. In patients who have been previously dependent on or chronically using opioids, tramadol can also reinitiate physical dependence or precipitate withdrawal symptoms.
MANAGEMENT: Concomitant use of tramadol and other opioids should be avoided in general. Tramadol should not be used in opioid-dependent patients, and use in patients who are chronically on opioids is also not recommended. Tramadol is contraindicated in patients with acute opioid intoxication. Tramadol dosage should be reduced if it must be used in patients receiving opioids. Patients should be monitored for development of seizures and CNS and respiratory depression.
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