i also take tramadol and dihdrododeine twice a day
It may do to start with, but once you get used to the medication you shouldn't notice daytime sleepiness. I used to take it for several years and didn't suffer this way. The combination of Amitriptyline, Tramadol and Dihydrocodeine however may increase the chances of drowsiness/lethargy/trouble concentrating... the only way you will really know is to trial it and see how it affects you... maybe start it on a weekend or when you don't have to drive or work early the next day
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