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.