Is it okay to take amitriptyline with a low dose of tramadol for pain?

Physician can decide: Tramadol and Amitriptyline both exert some effect on serotonin containing nerve pathways. There is potential interaction between the two. Treating physician can make a decision to combine the two in a regimen when benefits outweigh any potential risk.

Tramadol+ELavil: This two medications can trigger a severe side effect serotonin syndrome. This could be severe that can become a medical emergency, high blood pressure, headache, dizziness , vomiting, collapse. Most people tolerate both medications well.

Elavil/Tramadol: If monitored by your doctor, should be ok.