Tramadol (Ultram) and Methadone

Is it OK to take Ultram with methadone, or will it "throw me into withdrawal"? I am very leary about taking them.

I thought I read somewhere that "Ultram will add to the effects of Methadone". However, the word-of-mouth by other patrons of my clinic said it might cause withdrawal.

I am clean, and do not abuse anything anymore, and I am a take-home patient at FMTC, Fairfax Co, VA. The clinic is aware that I am going to weekly dental visits where I am poked and drilled and filed and prodded. He gives me vicodin on the painful visits- 10 to 20 max, but they do not help the pain. The Vicodin scripts are taken to the clinic by me where they are counted and approved by my counselor and the clinic nurse, so there is not "funny business".

I am on 130mg of methadone daily. Should I try Ultram, or is it contra-indicated.

Please if anyone knows for sure AND people who have actually taken this combination please let me know your wisdom!!!

Thanks,

Chris

CSKI,
I'm sorry I have had some appointments this week and I did't see your post until tonight. I am glad that you asked before taking Ultram.
You should not take Ultram while taking Methadone. Taking the two together can cause precipitated withdrawal.
In the clinic that I attended there was a list posted in my counselors office of Medication that should not be taken with Methadone and I do remember Ultram being on that list.
I also looked it up for you to make sure and have it posted below.


Interactions between your selected drugs
Major
methadone ↔ tramadol
Applies to: methadone, Ultram (tramadol)


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.

You can check drug interactions here:
Drugs.com

Yes, that is what I thought. I just needed someone to kind of confirm Tramadol as not being a good idea.

I DO take Trileptal for stopping seizures. So, taking Tramadol could be life threatening to me.

I am trying to figure out if there is any medicine that will work for acute dental pain from surgical procedures done on my $9000.00 dental problems.

Vicodin just does nothing to relieve acute pain. Anyone got any ideas? (I am NOT looking to "get high"). I am on 130mg of methadone, which is a blocking dose for me.

Thanks

Chris