Having myelogram but not stopping use of tramadol due to severe withdrawals w/ drs consent. How high is seizure risk? Monitored for 6 hrs after

Need better meds. Seizure risk has always been low with myelogram and tramadol. The risk is even lower today with use of newer contrast agents. Tramadol can lower the seizure threshold, usually at 300 mg or more per day. Risk increases in those with history of prior seizures. This may be a good time to transition to burprenorphine as it will control your withdrawals, your pain, and not lower the seizure threshold.