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Author: Admin | 2025-04-28
4 times a day. Maximum of 4 doses per day.Caution when taking tramadol with other medicationsTramadol is not suitable for some people, and it should be used with caution in people taking the following medications:anticoagulants (blood thinners), such as warfarin, or other drugs that have blood-thinning effects such as aspirin or NSAIDsanticonvulsants, such as carbamazepine, phenytoin, phenobarbital, or primidoneantidepressants, such as tricyclic antidepressants (eg, amitriptyline), monoamine oxidase inhibitors (eg, isocarboxazid, phenelzine, and tranylcypromine), or SSRIs (eg, fluoxetine, sertraline)antipsychotics (such as butyrophenones, phenothiazines, or thioxanthenes) and atypical antipsychotics (eg, olanzapine, quetiapine, ziprasidone)any medication that may cause drowsiness, such as benzodiazepines (eg, diazepam, lorazepam), first-generation antihistamines (such as doxylamine or promethazine), metoclopramide, or opioids (such as codeine, morphine)buprenorphinediuretics, such as furosemideheart medications, such as digoxinmedications that are metabolized by the same enzymes such as bupropion, erythromycin, fluoxetine, ketoconazole, paroxetine, quinidine, or ritonavirmigraine medications, such as almotriptan, eletriptan, or sumatriptanmuscle relaxants, such as cyclobenzaprineother medications that affect serotonin, such as amphetamines, fentanyl, lithium, triptans (eg, almotriptan, eletriptan, or sumatriptan), or St. John's Wortothers, such as quinidine, or rifampin.Related questionsCan you take Ibuprofen if you have COVID-19 (coronavirus)?Naproxen vs ibuprofen: What's the difference?Can you take ibuprofen on an empty stomach?Can you take tramadol with supplements or herbal remedies?Herbal medications that also release serotonin, such as ashwagandha, ginseng, Rhodiola rosea, saffron, and St John’s Wort can interact with tramadol and cause a condition known as serotonin syndrome (symptoms include mental status changes [such as agitation, hallucinations, coma, delirium]), fast heart rate, dizziness, flushing, muscle tremor
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