A member asked:

Currently taking milk thistle , dandelion ,licoriche and artichoke. will they react negatively with tramadol?

A doctor has provided 1 answer
Dr. Hal Blatman answered

Specializes in Pain Management

Unlikely: Dandelion has diuretic properties, milk thistle enhances liver detoxification, licorice helps adrenal glands, and artichoke thins bile and makes the gall bladder contract. The tramadol may get metabolized a little more quickly, but I do not expect an interaction that could be harmful.

Answered 5/7/2018

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