well i currently take subs now so i do not go back to abusing oxys... i do work 6 days a week and my back starts to seriously hurt half way threw my shift... i have tramadol that i take for my pain at work..but i have never taken the two together..( i kno tramadol is "narcotic-like" but i still wanna know from experiences... thank you
No way Jose, you cannot take Tramadol with subs. I tried once, like a fool, to take the two together. It wasn't pleasant in the least. Here is what DC says on the interactions checker:
**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.
GENERALLY AVOID: Mixed opioid agonist-antagonist analgesics such as buprenorphine, butorphanol, nalbuphine, and pentazocine may theoretically decrease the analgesic effects of tramadol or cause withdrawal symptoms in patients who have been taking tramadol.
MANAGEMENT: Concomitant use of tramadol and other opioids, including mixed agonist/antagonist analgesics, 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.
Tramadol in conjunction with another Opioid in some people may cause problems, especially if there's been any history of head trauma and or seizures. If there is no history, Tramadol should be a safe drug to use, starting low, and going up gradually. I personally take Methadone and Tramadol together with no problems, however, I honestly don't know how it would react with the Suboxone... afterall, it really is a different animal than is Methadone. Tramadol does hit on the Opioid sensors in the brain, so it is technically an Opioid, even though chemically it's an SNRI.
- Tramadol Information for Consumers
- Tramadol Information for Healthcare Professionals (includes dosage details)
- Side Effects of Tramadol (detailed)
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