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Tramadol and prednisone. Taking tramadol with other medicines and herbal supplements |
Tramadol (Oral Route) Precautions - Mayo Clinic - Mixing tramadol with herbal remedies and supplements
Drug information provided by: IBM Micromedex. Prednisone provides relief for inflamed areas of the body. It is used to treat a number of different conditions, such as inflammation swellingsevere allergies, adrenal problems, arthritis, asthma, blood or bone marrow problems, endocrine problems, eye or vision problems, stomach or bowel problems, lupus, skin conditions, kidney problems, ulcerative colitis, and flare-ups of multiple sclerosis.
Prednisone is a corticosteroid cortisone-like medicine or steroid. It works on the immune system to help relieve swelling, redness, itching, and allergic reactions. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do.
This is a decision you and your doctor will make. For this medicine, the following should be considered:. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of prednisone in children.
However, pediatric patients are more likely to have slower growth and bone problems if prednisone is used for a long time. Recommended doses should not be exceeded, and the patient should be carefully monitored during therapy.
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of prednisone in the elderly.
However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for elderly patients receiving prednisone. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:. Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance for unwanted effects. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup.
The average household teaspoon may not hold the right amount of liquid. Measure the concentrated liquid with the special oral dropper that comes with the package. If you use this medicine for a long time, do not suddenly stop using it without checking first with your doctor.
You may need to slowly decrease your dose before stopping it completely. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. If you will be taking this medicine for a long time, it is very important that your doctor check you at regular visits for any unwanted effects that may be caused by this medicine. Blood or urine tests may be needed to check for unwanted effects.
Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant.
If you think you have become pregnant while using this medicine, tell your doctor right away. If you are using this medicine for a long time, tell your doctor about any extra stress or anxiety in your life, including other health concerns and emotional stress. Your dose of this medicine might need to be changed for a short time while you have extra stress.
Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness.
This medicine may cause you to get more infections than usual. Avoid people who are sick or have infections and wash your hands often. If you are exposed to chickenpox or measles, tell your doctor right away. If you start to have a fever, chills, sore throat, or any other sign of an infection, call your doctor right away. Check with your doctor right away if blurred vision, difficulty in reading, eye pain, or any other change in vision occurs during or after treatment.
Your doctor may want you to have your eyes checked by an ophthalmologist eye doctor. While you are being treated with prednisone, do not have any immunizations vaccines without your doctor's approval. Prednisone may lower your body's resistance and the vaccine may not work as well or you might get the infection the vaccine is meant to prevent.
In addition, you should not be around other persons living in your household who receive live virus vaccines because there is a chance they could pass the virus on to you. Some examples of live vaccines include measles, mumps, influenza nasal flu vaccinepoliovirus oral formrotavirus, and rubella.
Do not get close to them and do not stay in the same room with them for very long. If you have questions about this, talk to your doctor. This medicine may cause changes in mood or behavior for some patients. Tell your doctor right away if you have depression, mood swings, a false or unusual sense of well-being, trouble with sleeping, or personality changes while taking this medicine.
This medicine might cause thinning of the bones osteoporosis or slow growth in children if used for a long time. Tell your doctor if you have any bone pain or if you have an increased risk for osteoporosis. If your child is using this medicine, tell the doctor if you think your child is not growing properly. Make sure any doctor or dentist who treats you knows that you are using this medicine.
This medicine may affect the results of certain skin tests. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription over-the-counter [OTC] medicines and herbal or vitamin supplements. Along with its needed effects, a medicine may cause some unwanted effects.
Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:.
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.
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❿- Tramadol and prednisone
Drug information provided by: IBM Micromedex. Tramadol is used to relieve moderate to moderately severe pain, including pain after surgery. The extended-release capsules or tablets are used for chronic ongoing pain. Tramadol belongs to the group of medicines called opioid analgesics.
It acts in the central nervous system CNS to relieve pain. When tramadol is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain.
Mental dependence addiction is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines.
Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Qdolo should not be used in children younger than 12 years of age and to relieve pain after surgery eg, surgery to remove adenoid or tonsil in children.
Safety and efficacy have not been established. It should not be used to relieve pain after surgery removal of tonsils or adenoids in any children. Severe breathing problems and deaths have been reported in some children who received tramadol after tonsil or adenoid surgery. Appropriate studies have not been performed on the relationship of age to the effects of tramadol extended-release tablets in the pediatric population.
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tramadol in the elderly. However, elderly patients are more likely to have unwanted side effects eg, constipation, lightheadedness, dizziness, or fainting, stomach upset, weakness and age-related liver, kidney, heart, or lung problems, which may require caution and an adjustment in the dose for patients receiving tramadol.
Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary.
When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended.
Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases.
If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur.
Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine.
Make sure you tell your doctor if you have any other medical problems, especially:. Take this medicine only as directed by your doctor.
Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much of this medicine is taken for a long time, it may become habit-forming causing mental or physical dependence or cause an overdose. It is very important that you understand the rules of the Opioid Analgesic REMS program to prevent addiction, abuse, and misuse of acetaminophen and codeine combination.
This medicine should come with a Medication Guide. Read and follow the instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions. If you think that this medicine is not working as well after you have been taking it for a few weeks, do not increase the dose.
Instead, check with your doctor. Swallow the extended-release capsule, extended-release tablet, and tablet whole with liquids. Do not break, crush, chew, snort, or inject it. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Keep from freezing. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www. It is very important that your doctor check your or your child's progress at regular visits, especially within the first 24 to 72 hours of treatment to make sure the medicine is working properly.
Blood and urine tests may be needed to check for unwanted effects. You should not take other medicines that also contain tramadol. Using these medicines together may increase your chance for more serious side effects. Check with your doctor before using this medicine with alcohol or other medicines that affect the central nervous system CNS. The use of alcohol or other medicines that affect the CNS with tramadol may worsen the side effects of this medicine, such as dizziness, poor concentration, drowsiness, unusual dreams, and trouble with sleeping.
Some examples of medicines that affect the CNS are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics.
This medicine may cause sleep-related breathing problems eg, sleep apnea, sleep-related hypoxemia. Your doctor may decrease your dose if you have sleep apnea stop breathing for short periods during sleep while using this medicine.
Using this medicine while you are pregnant may cause neonatal withdrawal syndrome in your newborn baby. Check with your doctor right away if your baby has an abnormal sleep pattern, diarrhea, a high-pitched cry, irritability, shakiness or tremors, weight loss, vomiting, or fails to gain weight. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine.
Tramadol is highly metabolized in the body. Some people change tramadol to a stronger product O-desmethyltramadol more quickly than others. These individuals are called "ultra-rapid metabolizers of tramadol". Contact your doctor immediately if you experience extreme sleepiness, confusion, or shallow breathing. These symptoms may indicate that you are an "ultra-rapid metabolizer of tramadol.
Children may be especially sensitive to this effect eg, serious breathing problems, death. Do not give this medicine to:. If a nursing mother is an ultra-rapid metabolizer of tramadol, it could lead to an overdose in the nursing baby and cause very serious side effects. Check with your doctor right away if you or your child have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there.
These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body. This medicine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed.
Make sure your doctor knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell your doctor if you have any sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let your doctor know if you or anyone in your family has bipolar disorder manic-depressive disorder or has tried to commit suicide. This medicine may cause serious allergic reactions, including anaphylaxis, angioedema, or certain skin conditions eg, Stevens-Johnson syndrome, toxic epidermal necrolysis.
These reactions can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have a rash, itching, blistering, peeling, or loosening of the skin, fever or chills, cough, red irritated eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white spots in the mouth or on the lips, trouble breathing or swallowing, unusual tiredness or weakness, or any swelling of your hands, face, mouth, or throat while you are using this medicine.
This medicine may cause some people to become drowsy, dizzy, or lightheaded.
❾-50%}Tramadol and prednisone.Prednisone combined with Tramadol
This danish is not covered and subsides within few days. For promotion useBenzac AC 2. Avoid try with the eyes, mucous membranes, or open wounds. Skin irritationBenzac AC 2. Use in childrenBenzac AC 2.
Posted 7 years ago11 users are following. I've had PMR for about 1. I started with 60 mg much to high, I knowand now I'm down to 8 mg. The 8 mg is livable, except for the wee hours of the morning.
My ribs hurt as the night wears on, and I don't sleep good at all. I was thinking about increasing the predizone, until I thought of Tramadol. Now I take my 8 mg of prednisone in the AM, and my 50 mg of Tramadol before bed and I'm doing so much better. Posted 7 years ago. If 1mg more pred would give you a better esult then it is longterm potentially far less risky than getting into Tramadol.
I understand your point, but I doubt an increase of 1 mg pred would make a difference. I've had the sleepless nights for months, even with the higher doses of pred. So I guess you don't agree with my GP who says that "many people are on far worse drugs to help them sleep than Tramadol paraphrasing? It was prescribed to me when I had intense pain in my left hip due to bursitis. It certainly helped and made me feel "good", and I was able to sleep at night which I could not do while I had this pain.
I was told to use ice and tramadol at night. But no more But I would suggest you see a Bowen practitioner or maybe a physio if that doesn't appeal - because I'll lay odds the pain you are complaining about isn't PMR and it would be sensible to identify the muscular cause and work on it. I agree, I found Tramadol very helpful for the short period of time I needed it, but as you say this drug needs to be treated with respect if it is used for a longer period of time and extreme pain.
But the pain levels are down enough that perhaps these other meds take the last bite out of it?? The other thing that might be happening is the myofascia pain, or even arthritis in the spine. Whatever it is, it slowly gets worse as the night progresses and the tramadol hits the spot. Try a 'duvet' sandwich and Bowen Therapy and see how that works.
Tramadol is the only thing that has worked for my pain other than doing pool exercises. Far too fast probably. Some people do not have problems reducing pred at all, others find that provided the steps down are small they have no problem either. Some people do not have significant short or long term problems with pred, most are reversible.
Pred is the only drug that manages them, without them their PMR patients will suffer unnecessarily if they are rushed off it and many GCA patients would go blind.
It isn't just the pain, which is bad enough but the long term uncontrolled inflammation levels in the body do untold damage, leading to increased rates of cardiovascular disease and even some cancers - so I for one will take my chances using pred which gives me a pretty much pain-free life in the meantime.
I've had weight gainmuscle wasting, bad hair, skin problems - all reversed with lowering the dose and some hard work. I experienced at least 40 of them. I will be glad to be rid of Pred. I will also strive to not take alot of Tramadol as i believe my gp will not go for long term increasing the dosage. Its for really bad days only. We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters.
Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately.
Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms. Prednisone combined with Tramadol Follow. Well, I think I found a bonanza, at least for me. I had a vial of Tramadol, and tried taking 1 pill at night before bed.
It didn't take away all the discomfort but it sure does help. Anybody else have experience with Tramadol? New discussion Reply. Yes,I get tramadol slow release tablets on prescription for when pain is bad. I find a tramadol plus a paracetamol for relief till tramadol kicks in aids sleep. Rheumatologist added 10mg amitryptiline at 7pm and I am having the best quality of sleep for ages and am even dreaming again.
Try nothing to lose and if it does not work stop. EileenH bob Tramadol at ANY dose has the potential to be addictive. Used over a longer time it becomes less effective - and the temptation is to increase the dose to get the pain relief back. That isn't what to do - you need to ask for something different or you will end up taking more and more and then be unable to reduce the dose without problems. Eileen, I understand your point, but I doubt an increase of 1 mg pred would make a difference.
Just thought to share my story. Hi Erika,as you say tramadol is a member of the opioid family but it is one of the milder ones and if you are aware of it'd potential for addiction and treat it with respect there usually is no problem.
I was very wary at first but the slow release version helps me sleep as pain does not wake me as much plus if going out for a days walking on my husband's day off it means I can function without extreme pain so he does not keep saying "we are going home you are in pain. Although it was in response to the suggestion that a low dose is non-addictive it is also more a comment on the attitude of many doctors to pred - they are quite happy to hand out drugs to all of us with PMR that have exactly the same or even worse long term effects as pred.
Omeprazole, for example, also causes osteoporosis since it prevents uptake of calcium and is not necessarily needed. AA is implicated in many unpleasant things - including the femoral fractures it is supposed to be preventing. Pred may have 82 listed side effects - but no-one gets them all and many get almost none. I am surprised that Tramadol works so well for your PMR pain, it had absolutely no effect at all in my case.
I wonder if it might be helping some other pain you have other than PMR. GO put me on paracetamol plus tramadol for bad days. Mainly take it at night to allow sleep and movement while doing so. Rheumatologist has now got me on methotrexate with close monitoring and appointments. Touch wood it is starting to kick in but was told to stay on the painkillers till I feel I can cut down as my blood results are still rather high. It is a slow journey with stops and starts 12years. It just made me 'High' very 'High' indeed!!
I chose not to take it as I feel that I could very easily become addicted!!! Yes and 1 tablet knocked me out for nearly 24 hours. Never again. I too was prescribed Tramadol, 60 50mg pills at a time with no refills. I maybe take four or five a week depending on how bad the pain is. I have dropped from 20 mg of pred to 3 mg in 9 months. My bodys addiction was terrible judging by the withdrawl symptoms I experienced.
I agree with my GP and Rheumy that long term use of Prednisone could cause many other terrible health problems and to get off it as soon as possible. EileenH jo If you are unlucky enough to start on Tramadol or any other such drug and then need to escalate the dose - as often happens as your body learns to tolerate them - you will have far worse problems stopping them that anything to do with stoppong prednisolone.
Jo, do you think it is the PMR that the Tramadol is helping or do you think you have pain from something else? I think its Pmr but the doctor thinks its fibro. Both doctors believe that prednisone lowers my crp levels which are normal and that I should be pain free as long as these levels are stay normal.
I also have pain and stiffness in my hands and wrist which both doctors have told me that it never happens in Pmr hence the Fibro diagnosis.
The rest of my pain is in the shoulders and hip area. I just got my sit stand work station at work asI cannot sit for any longer than 15 minutes. I believe that I have reduced far to fast but out of the 80 side effects from pred I experienced at least 40 of them. Join this discussion or start a new one? Contains personal information. Duplicate post. Offensive topic. Delete request or other:. Notes on Prednisone combined with Tramadol close.
There is no recorded drug interaction between tramadol and prednisone. Therefore, you can safely take both together. Just remember not to drink alcohol. A pilot clinical trial comparing efficacy and safety of tramadol versus prednisone along with therapeutic ultrasound as adjuvant therapy in Chinese patients. Prednisone is a corticosteroid (cortisone-like medicine or steroid). Tramadol; Ubrogepant; Ulipristal; Valdecoxib; Velpatasvir; Voxilaprevir. Tramadol is used to relieve moderate to moderately severe pain, including pain after surgery. The extended-release capsules or tablets are used for chronic. Now I take my 8 mg of prednisone in the AM, and my 50 mg of Tramadol before bed and I'm doing so much better. I told my GP about it. It works on the immune system to help relieve swelling, redness, itching, and allergic reactions. Do not take medicines called monoamine oxidase inhibitors or MAOIs which are used to treat depression with tramadol. If 1mg more pred would give you a better esult then it is longterm potentially far less risky than getting into Tramadol. Some side effects may occur that usually do not need medical attention. Tell your doctor if you have any bone pain or if you have an increased risk for osteoporosis.Back to Tramadol. Some medicines can affect the way tramadol works and increase the chances of you having side effects. Some medicines may weaken or shorten the effect of tramadol. Tell your doctor if you're taking:. Do not take medicines called monoamine oxidase inhibitors or MAOIs which are used to treat depression with tramadol. The combination can cause significant side effects such as anxiety, confusion and hallucinations. It's safe to take tramadol with paracetamol , ibuprofen or aspirin aspirin is only suitable for most people aged 16 and over.
Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to tramadol. Codeine-containing painkillers that you can buy from pharmacies These include co-codamol , Nurofen Plus and Solpadeine.
Do not take these pharmacy-bought painkillers with tramadol because you are more likely to get side effects. There's not enough information to say that other complementary medicines and herbal remedies are safe to take with tramadol.
They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines. Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements. Page last reviewed: 19 January Next review due: 19 January Taking tramadol with other medicines and herbal supplements.
Cautions with other medicines Some medicines can affect the way tramadol works and increase the chances of you having side effects. Tell your doctor if you are taking any medicines: for depression for mental health problems for pain relief to help you sleep to reduce tension or anxiety to treat symptoms of an allergy to help prevent blood clots such as warfarin to treat an infection Some medicines may weaken or shorten the effect of tramadol.
Tell your doctor if you're taking: carbamazepine to treat epilepsy buprenorphine , a painkiller Ondansetron, to stop you feeling sick Rifampicin, an antibiotic Important: Important Do not take medicines called monoamine oxidase inhibitors or MAOIs which are used to treat depression with tramadol. Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.
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