Tramadol Drug Interactions

219Total Interactions
22Severe
2Moderate
0Mild
DrugSeveritySummary
Acenocoumarol SEVERE Tramadol might increase the anticoagulant effect of Acenocoumarol. Manufacturer advises caution.
Buprenorphine SEVERE Buprenorphine is predicted to increase the risk of opiate withdrawal when given with Tramadol. Ma...
Bupropion SEVERE Bupropion is predicted to decrease the efficacy of Tramadol. Manufacturer makes no recommendation.
Carbamazepine SEVERE Carbamazepine decreases the concentration of Tramadol. Manufacturer advises adjust dose.
Cinacalcet SEVERE Cinacalcet is predicted to decrease the efficacy of Tramadol. Manufacturer makes no recommendation.
Clozapine SEVERE Clozapine can cause constipation, as can Tramadol ; concurrent use might increase the risk of dev...
Dacomitinib SEVERE Dacomitinib is predicted to decrease the efficacy of Tramadol. Manufacturer makes no recommendation.
Fluoxetine SEVERE Fluoxetine is predicted to decrease the efficacy of Tramadol. Manufacturer makes no recommendation.
Isocarboxazid SEVERE Tramadol is predicted to increase the risk of CNS excitation or depression when given with Isocar...
Meptazinol SEVERE Meptazinol is predicted to increase the risk of opiate withdrawal when given with Tramadol. Manuf...
Moclobemide SEVERE Moclobemide might cause serotonin syndrome, as can Tramadol ; concurrent use might increase the r...
Nalmefene SEVERE Nalmefene is predicted to decrease the efficacy of Tramadol. Manufacturer advises avoid except in...
Naltrexone SEVERE Naltrexone is predicted to decrease the efficacy of Tramadol. Manufacturer advises avoid except i...
Ozanimod SEVERE Tramadol might increase the risk of adverse effects when given with Ozanimod. Manufacturer makes ...
Paroxetine SEVERE Paroxetine is predicted to decrease the efficacy of Tramadol. Manufacturer makes no recommendation.
Pentazocine SEVERE Pentazocine is predicted to increase the risk of opiate withdrawal when given with Tramadol. Manu...
Phenelzine SEVERE Tramadol is predicted to increase the risk of CNS excitation or depression when given with Phenel...
Phenindione SEVERE Tramadol might increase the anticoagulant effect of Phenindione. Manufacturer advises caution.
Tapentadol SEVERE Tapentadol is predicted to increase the risk of serotonin syndrome when given with Tramadol. Manu...
Terbinafine SEVERE Terbinafine is predicted to decrease the efficacy of Tramadol. Manufacturer makes no recommendation.
Tranylcypromine SEVERE Tramadol is predicted to increase the risk of CNS excitation or depression when given with Tranyl...
Warfarin SEVERE Tramadol has been reported to increase the anticoagulant effect of Warfarin. Manufacturer advises...
Enzalutamide MODERATE Enzalutamide is predicted to affect the exposure to Tramadol. Manufacturer advises use with cauti...
Mexiletine MODERATE Tramadol potentially decreases the absorption of oral Mexiletine. Manufacturer makes no recommend...
Aceclofenac LOW Both Tramadol and Aceclofenac can increase the risk of hyponatraemia.
Agomelatine LOW Both Tramadol and Agomelatine have effects on the CNS and can cause sedation, which might affect ...
Alcohol LOW Both Tramadol and Alcohol have effects on the CNS and can cause sedation, which might affect the ...
Alimemazine LOW Both Tramadol and Alimemazine have effects on the CNS and can cause sedation, which might affect ...
Almotriptan LOW Both Tramadol and Almotriptan can increase the risk of serotonin syndrome. See 'Serotonin syndrom...
Alprazolam LOW Both Tramadol and Alprazolam have effects on the CNS and can cause sedation, which might affect t...
Amiloride LOW Both Tramadol and Amiloride can increase the risk of hyponatraemia.
Amisulpride LOW Both Tramadol and Amisulpride can increase the risk of hyponatraemia.
Amitriptyline LOW Both Tramadol and Amitriptyline can increase the risk of hyponatraemia.
Apomorphine LOW Both Tramadol and Apomorphine have effects on the CNS and can cause sedation, which might affect ...
Apraclonidine LOW Both Tramadol and Apraclonidine have effects on the CNS and can cause sedation, which might affec...
Aripiprazole LOW Both Tramadol and Aripiprazole can increase the risk of hyponatraemia.
Asenapine LOW Both Tramadol and Asenapine can increase the risk of hyponatraemia.
Baclofen LOW Both Tramadol and Baclofen have effects on the CNS and can cause sedation, which might affect the...
Bendroflumethiazide LOW Both Tramadol and Bendroflumethiazide can increase the risk of hyponatraemia.
Benperidol LOW Both Tramadol and Benperidol can increase the risk of hyponatraemia.
Brimonidine LOW Both Tramadol and Brimonidine have effects on the CNS and can cause sedation, which might affect ...
Bromocriptine LOW Both Tramadol and Bromocriptine have effects on the CNS and can cause sedation, which might affec...
Buclizine LOW Both Tramadol and Buclizine have effects on the CNS and can cause sedation, which might affect th...
Bumetanide LOW Both Tramadol and Bumetanide can increase the risk of hyponatraemia.
Cabergoline LOW Both Tramadol and Cabergoline have effects on the CNS and can cause sedation, which might affect ...
Cannabidiol LOW Both Tramadol and Cannabidiol have effects on the CNS and can cause sedation, which might affect ...
Carboplatin LOW Both Tramadol and Carboplatin can increase the risk of hyponatraemia.
Cariprazine LOW Both Tramadol and Cariprazine can increase the risk of hyponatraemia.
Celecoxib LOW Both Tramadol and Celecoxib can increase the risk of hyponatraemia.
Cenobamate LOW Both Tramadol and Cenobamate have effects on the CNS and can cause sedation, which might affect t...
Chloral hydrate LOW Both Tramadol and Chloral hydrate have effects on the CNS and can cause sedation, which might aff...
Chlordiazepoxide LOW Both Tramadol and Chlordiazepoxide have effects on the CNS and can cause sedation, which might af...
Chlorothiazide LOW Both Tramadol and Chlorothiazide can increase the risk of hyponatraemia.
Chlorphenamine LOW Both Tramadol and Chlorphenamine have effects on the CNS and can cause sedation, which might affe...
Chlorpromazine LOW Both Tramadol and Chlorpromazine can increase the risk of hyponatraemia.
Chlortalidone LOW Both Tramadol and Chlortalidone can increase the risk of hyponatraemia.
Cinnarizine LOW Both Tramadol and Cinnarizine have effects on the CNS and can cause sedation, which might affect ...
Cisplatin LOW Both Tramadol and Cisplatin can increase the risk of hyponatraemia.
Citalopram LOW Both Tramadol and Citalopram can increase the risk of hyponatraemia.
Clobazam LOW Both Tramadol and Clobazam have effects on the CNS and can cause sedation, which might affect the...
Clomethiazole LOW Both Tramadol and Clomethiazole have effects on the CNS and can cause sedation, which might affec...
Clomipramine LOW Both Tramadol and Clomipramine can increase the risk of hyponatraemia.
Clonazepam LOW Both Tramadol and Clonazepam have effects on the CNS and can cause sedation, which might affect t...
Clonidine LOW Both Tramadol and Clonidine have effects on the CNS and can cause sedation, which might affect th...
Cyclizine LOW Both Tramadol and Cyclizine have effects on the CNS and can cause sedation, which might affect th...
Cyclophosphamide LOW Both Tramadol and Cyclophosphamide can increase the risk of hyponatraemia.
Cyproheptadine LOW Both Tramadol and Cyproheptadine have effects on the CNS and can cause sedation, which might affe...
Dapoxetine LOW Both Tramadol and Dapoxetine can increase the risk of serotonin syndrome. See 'Serotonin syndrome...
Daridorexant LOW Both Tramadol and Daridorexant have effects on the CNS and can cause sedation, which might affect...
Desflurane LOW Both Tramadol and Desflurane have effects on the CNS and can cause sedation, which might affect t...
Desmopressin LOW Both Tramadol and Desmopressin can increase the risk of hyponatraemia.
Dexamfetamine LOW Both Tramadol and Dexamfetamine can increase the risk of serotonin syndrome. See 'Serotonin syndr...
Dexketoprofen LOW Both Tramadol and Dexketoprofen can increase the risk of hyponatraemia.
Dexmedetomidine LOW Both Tramadol and Dexmedetomidine have effects on the CNS and can cause sedation, which might aff...
Diazepam LOW Both Tramadol and Diazepam have effects on the CNS and can cause sedation, which might affect the...
Diclofenac LOW Both Tramadol and Diclofenac can increase the risk of hyponatraemia.
Difelikefalin LOW Both Tramadol and Difelikefalin have effects on the CNS and can cause sedation, which might affec...
Dimenhydrinate LOW Both Tramadol and Dimenhydrinate have effects on the CNS and can cause sedation, which might affe...
Dosulepin LOW Both Tramadol and Dosulepin can increase the risk of hyponatraemia.
Doxepin LOW Both Tramadol and Doxepin can increase the risk of hyponatraemia.
Doxylamine LOW Both Tramadol and Doxylamine have effects on the CNS and can cause sedation, which might affect t...
Dronabinol LOW Both Tramadol and Dronabinol have effects on the CNS and can cause sedation, which might affect t...
Droperidol LOW Both Tramadol and Droperidol can increase the risk of hyponatraemia.
Duloxetine LOW Both Tramadol and Duloxetine can increase the risk of hyponatraemia.
Eletriptan LOW Both Tramadol and Eletriptan can increase the risk of serotonin syndrome. See 'Serotonin syndrome...
Escitalopram LOW Both Tramadol and Escitalopram can increase the risk of hyponatraemia.
Esketamine LOW Both Tramadol and Esketamine have effects on the CNS and can cause sedation, which might affect t...
Eslicarbazepine LOW Both Tramadol and Eslicarbazepine can increase the risk of hyponatraemia.
Eszopiclone LOW Both Tramadol and Eszopiclone have effects on the CNS and can cause sedation, which might affect ...
Etodolac LOW Both Tramadol and Etodolac can increase the risk of hyponatraemia.
Etomidate LOW Both Tramadol and Etomidate have effects on the CNS and can cause sedation, which might affect th...
Etoricoxib LOW Both Tramadol and Etoricoxib can increase the risk of hyponatraemia.
Fenfluramine LOW Both Tramadol and Fenfluramine can increase the risk of serotonin syndrome. See 'Serotonin syndro...
Flupentixol LOW Both Tramadol and Flupentixol can increase the risk of hyponatraemia.
Flurazepam LOW Both Tramadol and Flurazepam have effects on the CNS and can cause sedation, which might affect t...
Flurbiprofen LOW Both Tramadol and Flurbiprofen can increase the risk of hyponatraemia.
Fluvoxamine LOW Both Tramadol and Fluvoxamine can increase the risk of hyponatraemia.
Foslevodopa LOW Both Tramadol and Foslevodopa have effects on the CNS and can cause sedation, which might affect ...
Fosphenytoin LOW Both Tramadol and Fosphenytoin have effects on the CNS and can cause sedation, which might affect...
Frovatriptan LOW Both Tramadol and Frovatriptan can increase the risk of serotonin syndrome. See 'Serotonin syndro...
Furosemide LOW Both Tramadol and Furosemide can increase the risk of hyponatraemia.
Gabapentin LOW Both Tramadol and Gabapentin have effects on the CNS and can cause sedation, which might affect t...
Granisetron LOW Both Tramadol and Granisetron can increase the risk of serotonin syndrome. See 'Serotonin syndrom...
Guanfacine LOW Both Tramadol and Guanfacine have effects on the CNS and can cause sedation, which might affect t...
Haloperidol LOW Both Tramadol and Haloperidol can increase the risk of hyponatraemia.
Hydrochlorothiazide LOW Both Tramadol and Hydrochlorothiazide can increase the risk of hyponatraemia.
Hydroflumethiazide LOW Both Tramadol and Hydroflumethiazide can increase the risk of hyponatraemia.
Hydroxyzine LOW Both Tramadol and Hydroxyzine have effects on the CNS and can cause sedation, which might affect ...
Ibuprofen LOW Both Tramadol and Ibuprofen can increase the risk of hyponatraemia.
Imipramine LOW Both Tramadol and Imipramine can increase the risk of hyponatraemia.
Indapamide LOW Both Tramadol and Indapamide can increase the risk of hyponatraemia.
Indometacin LOW Both Tramadol and Indometacin can increase the risk of hyponatraemia.
Isoflurane LOW Both Tramadol and Isoflurane have effects on the CNS and can cause sedation, which might affect t...
Ketamine LOW Both Tramadol and Ketamine have effects on the CNS and can cause sedation, which might affect the...
Ketoprofen LOW Both Tramadol and Ketoprofen can increase the risk of hyponatraemia.
Ketorolac LOW Both Tramadol and Ketorolac can increase the risk of hyponatraemia.
Ketotifen LOW Both Tramadol and Ketotifen have effects on the CNS and can cause sedation, which might affect th...
Lamotrigine LOW Both Tramadol and Lamotrigine have effects on the CNS and can cause sedation, which might affect ...
Levetiracetam LOW Both Tramadol and Levetiracetam have effects on the CNS and can cause sedation, which might affec...
Levodopa LOW Both Tramadol and Levodopa have effects on the CNS and can cause sedation, which might affect the...
Levomepromazine LOW Both Tramadol and Levomepromazine can increase the risk of hyponatraemia.
Linezolid LOW Both Tramadol and Linezolid can increase the risk of serotonin syndrome. See 'Serotonin syndrome'...
Lisdexamfetamine LOW Both Tramadol and Lisdexamfetamine can increase the risk of serotonin syndrome. See 'Serotonin sy...
Lithium LOW Both Tramadol and Lithium can increase the risk of serotonin syndrome. See 'Serotonin syndrome' a...
Lofepramine LOW Both Tramadol and Lofepramine can increase the risk of hyponatraemia.
Lofexidine LOW Both Tramadol and Lofexidine have effects on the CNS and can cause sedation, which might affect t...
Loprazolam LOW Both Tramadol and Loprazolam have effects on the CNS and can cause sedation, which might affect t...
Lorazepam LOW Both Tramadol and Lorazepam have effects on the CNS and can cause sedation, which might affect th...
Lormetazepam LOW Both Tramadol and Lormetazepam have effects on the CNS and can cause sedation, which might affect...
Loxapine LOW Both Tramadol and Loxapine can increase the risk of hyponatraemia.
Lurasidone LOW Both Tramadol and Lurasidone can increase the risk of hyponatraemia.
Mannitol LOW Both Tramadol and Mannitol can increase the risk of hyponatraemia.
Mefenamic acid LOW Both Tramadol and Mefenamic acid can increase the risk of hyponatraemia.
Melatonin LOW Both Tramadol and Melatonin have effects on the CNS and can cause sedation, which might affect th...
Meloxicam LOW Both Tramadol and Meloxicam can increase the risk of hyponatraemia.
Methocarbamol LOW Both Tramadol and Methocarbamol have effects on the CNS and can cause sedation, which might affec...
Methoxyflurane LOW Both Tramadol and Methoxyflurane have effects on the CNS and can cause sedation, which might affe...
Methylthioninium chloride LOW Both Tramadol and Methylthioninium chloride can increase the risk of serotonin syndrome. See 'Ser...
Metolazone LOW Both Tramadol and Metolazone can increase the risk of hyponatraemia.
Mianserin LOW Both Tramadol and Mianserin have effects on the CNS and can cause sedation, which might affect th...
Midazolam LOW Both Tramadol and Midazolam have effects on the CNS and can cause sedation, which might affect th...
Mirtazapine LOW Both Tramadol and Mirtazapine can increase the risk of hyponatraemia.
Moxonidine LOW Both Tramadol and Moxonidine have effects on the CNS and can cause sedation, which might affect t...
Nabilone LOW Both Tramadol and Nabilone have effects on the CNS and can cause sedation, which might affect the...
Nabumetone LOW Both Tramadol and Nabumetone can increase the risk of hyponatraemia.
Naproxen LOW Both Tramadol and Naproxen can increase the risk of hyponatraemia.
Naratriptan LOW Both Tramadol and Naratriptan can increase the risk of serotonin syndrome. See 'Serotonin syndrom...
Nitrazepam LOW Both Tramadol and Nitrazepam have effects on the CNS and can cause sedation, which might affect t...
Nitrous oxide LOW Both Tramadol and Nitrous oxide have effects on the CNS and can cause sedation, which might affec...
Nortriptyline LOW Both Tramadol and Nortriptyline can increase the risk of hyponatraemia.
Olanzapine LOW Both Tramadol and Olanzapine can increase the risk of hyponatraemia.
Ondansetron LOW Both Tramadol and Ondansetron can increase the risk of serotonin syndrome. See 'Serotonin syndrom...
Orphenadrine LOW Both Tramadol and Orphenadrine have effects on the CNS and can cause sedation, which might affect...
Oxazepam LOW Both Tramadol and Oxazepam have effects on the CNS and can cause sedation, which might affect the...
Oxcarbazepine LOW Both Tramadol and Oxcarbazepine can increase the risk of hyponatraemia.
Oxytocin LOW Both Tramadol and Oxytocin can increase the risk of hyponatraemia.
Paliperidone LOW Both Tramadol and Paliperidone can increase the risk of hyponatraemia.
Palonosetron LOW Both Tramadol and Palonosetron can increase the risk of serotonin syndrome. See 'Serotonin syndro...
Parecoxib LOW Both Tramadol and Parecoxib can increase the risk of hyponatraemia.
Perampanel LOW Both Tramadol and Perampanel have effects on the CNS and can cause sedation, which might affect t...
Pericyazine LOW Both Tramadol and Pericyazine can increase the risk of hyponatraemia.
Phenazone LOW Both Tramadol and Phenazone can increase the risk of hyponatraemia.
Phenobarbital LOW Both Tramadol and Phenobarbital have effects on the CNS and can cause sedation, which might affec...
Phenytoin LOW Both Tramadol and Phenytoin have effects on the CNS and can cause sedation, which might affect th...
Pimozide LOW Both Tramadol and Pimozide can increase the risk of hyponatraemia.
Piroxicam LOW Both Tramadol and Piroxicam can increase the risk of hyponatraemia.
Pizotifen LOW Both Tramadol and Pizotifen have effects on the CNS and can cause sedation, which might affect th...
Pramipexole LOW Both Tramadol and Pramipexole have effects on the CNS and can cause sedation, which might affect ...
Pregabalin LOW Both Tramadol and Pregabalin have effects on the CNS and can cause sedation, which might affect t...
Primidone LOW Both Tramadol and Primidone have effects on the CNS and can cause sedation, which might affect th...
Prochlorperazine LOW Both Tramadol and Prochlorperazine can increase the risk of hyponatraemia.
Procyclidine LOW Both Tramadol and Procyclidine have effects on the CNS and can cause sedation, which might affect...
Promazine LOW Both Tramadol and Promazine can increase the risk of hyponatraemia.
Promethazine LOW Both Tramadol and Promethazine have effects on the CNS and can cause sedation, which might affect...
Propofol LOW Both Tramadol and Propofol have effects on the CNS and can cause sedation, which might affect the...
Quetiapine LOW Both Tramadol and Quetiapine can increase the risk of hyponatraemia.
Quinagolide LOW Both Tramadol and Quinagolide have effects on the CNS and can cause sedation, which might affect ...
Rasagiline LOW Both Tramadol and Rasagiline can increase the risk of serotonin syndrome. See 'Serotonin syndrome...
Remimazolam LOW Both Tramadol and Remimazolam have effects on the CNS and can cause sedation, which might affect ...
Risperidone LOW Both Tramadol and Risperidone can increase the risk of hyponatraemia.
Rizatriptan LOW Both Tramadol and Rizatriptan can increase the risk of serotonin syndrome. See 'Serotonin syndrom...
Ropinirole LOW Both Tramadol and Ropinirole have effects on the CNS and can cause sedation, which might affect t...
Rotigotine LOW Both Tramadol and Rotigotine have effects on the CNS and can cause sedation, which might affect t...
Rufinamide LOW Both Tramadol and Rufinamide have effects on the CNS and can cause sedation, which might affect t...
Safinamide LOW Both Tramadol and Safinamide can increase the risk of serotonin syndrome. See 'Serotonin syndrome...
Selegiline LOW Both Tramadol and Selegiline can increase the risk of serotonin syndrome. See 'Serotonin syndrome...
Sertraline LOW Both Tramadol and Sertraline can increase the risk of hyponatraemia.
Sevoflurane LOW Both Tramadol and Sevoflurane have effects on the CNS and can cause sedation, which might affect ...
Sodium oxybate LOW Both Tramadol and Sodium oxybate have effects on the CNS and can cause sedation, which might affe...
St John's wort LOW Both Tramadol and St John's wort can increase the risk of serotonin syndrome. See 'Serotonin synd...
Sulindac LOW Both Tramadol and Sulindac can increase the risk of hyponatraemia.
Sulpiride LOW Both Tramadol and Sulpiride can increase the risk of hyponatraemia.
Sumatriptan LOW Both Tramadol and Sumatriptan can increase the risk of serotonin syndrome. See 'Serotonin syndrom...
Temazepam LOW Both Tramadol and Temazepam have effects on the CNS and can cause sedation, which might affect th...
Tenoxicam LOW Both Tramadol and Tenoxicam can increase the risk of hyponatraemia.
Tetrabenazine LOW Both Tramadol and Tetrabenazine have effects on the CNS and can cause sedation, which might affec...
Thalidomide LOW Both Tramadol and Thalidomide have effects on the CNS and can cause sedation, which might affect ...
Thiopental LOW Both Tramadol and Thiopental have effects on the CNS and can cause sedation, which might affect t...
Tiaprofenic acid LOW Both Tramadol and Tiaprofenic acid can increase the risk of hyponatraemia.
Tizanidine LOW Both Tramadol and Tizanidine have effects on the CNS and can cause sedation, which might affect t...
Tolfenamic acid LOW Both Tramadol and Tolfenamic acid can increase the risk of hyponatraemia.
Torasemide LOW Both Tramadol and Torasemide can increase the risk of hyponatraemia.
Trazodone LOW Both Tramadol and Trazodone can increase the risk of hyponatraemia.
Trifluoperazine LOW Both Tramadol and Trifluoperazine can increase the risk of hyponatraemia.
Trihexyphenidyl LOW Both Tramadol and Trihexyphenidyl have effects on the CNS and can cause sedation, which might aff...
Trimipramine LOW Both Tramadol and Trimipramine can increase the risk of hyponatraemia.
Tryptophan LOW Both Tramadol and Tryptophan can increase the risk of serotonin syndrome. See 'Serotonin syndrome...
Valproate LOW Both Tramadol and Valproate can increase the risk of hyponatraemia.
Venlafaxine LOW Both Tramadol and Venlafaxine can increase the risk of hyponatraemia.
Vigabatrin LOW Both Tramadol and Vigabatrin have effects on the CNS and can cause sedation, which might affect t...
Vinblastine LOW Both Tramadol and Vinblastine can increase the risk of hyponatraemia.
Vincristine LOW Both Tramadol and Vincristine can increase the risk of hyponatraemia.
Vinorelbine LOW Both Tramadol and Vinorelbine can increase the risk of hyponatraemia.
Vortioxetine LOW Both Tramadol and Vortioxetine can increase the risk of serotonin syndrome. See 'Serotonin syndro...
Xipamide LOW Both Tramadol and Xipamide can increase the risk of hyponatraemia.
Zolmitriptan LOW Both Tramadol and Zolmitriptan can increase the risk of serotonin syndrome. See 'Serotonin syndro...
Zolpidem LOW Both Tramadol and Zolpidem have effects on the CNS and can cause sedation, which might affect the...
Zopiclone LOW Both Tramadol and Zopiclone have effects on the CNS and can cause sedation, which might affect th...
Zuclopenthixol LOW Both Tramadol and Zuclopenthixol can increase the risk of hyponatraemia.

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