I have been told that Tramal and methadone have an agonist/antagosist type effect, in that one cancels out the pain relief of the other.
It has been recommended to be avoided, after having it checked on the Interactions Checker.
methadone ↔ tramadol
Applies to: methadone, Tramal (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.
Other drugs that your selected drugs interact with
methadone interacts with more than 400 other drugs.
Tramal (tramadol) interacts with more than 300 other drugs.
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