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A 34-year-old female asked:

Can i take 18mg concerta with up to 300 mlg of tramadol through out the day my doc said it was ok but i am reading it can be dangerous so i am waiting to start the concerta?

1 doctor answer4 doctors weighed in
Dr. Alan Cohen
40 years experience
Concerta: That's a significant dose of tramadol to combine with another CNS active agent. Caution is advised. Concerta is methylphenidate as a long acting form of ritalin, ( a stimulant). If you have risk factors for seizure, like head injury , etoh use, other drugs, etc, you have a risk of seizure. Stimulants lower seizure threshold, as does tramadol. Together it multiplies risk, . Weigh vs. Benefits.
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Last updated Oct 23, 2017


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