... highly not recommended when combined. Anyone know which one is it..safe together or not?
Its not one or the other, your dr has to be aware of the risk factors for seizures and prescribe appropriately. Here is what is said about the management MANAGEMENT: Caution is advised if tramadol is administered with any substance that can reduce the seizure threshold, particularly in the elderly and in patients with epilepsy, a history of seizures, or other risk factors for seizures (e.g., head trauma, brain tumor, metabolic disorders, alcohol and drug withdrawal, CNS infections).
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