It is safe to do so, and the combination can offer better pain relief than one of the two drugs alone. Tramadol may be prescribed alone or in combination with other drugs. Take tramadol hydrochloride tablets exactly as prescribed by your healthcare provider. Call your healthcare provider for medical advice about side effects. I feel as if they have crossed the line making these types of decisions, they are not my provider and they are not the one's in pain. But it's OK to take naproxen with paracetamol or co-codamol that you buy over the counter. Naproxen tramadol: tramadol and acetaminophen are known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with impaired renal function. There are several FDA-approved combinations, including tramadol with Aleve, tramadol with acetaminophen, and tramadol with Seglentis (celecoxib). The price of the drug can vary depending on several factors, including brand name vs. The length of time that tramadol withdrawal symptoms last can vary depending on individual factors such as age, weight, and overall health. By the time I need a 3rd dose, the tramadol is back working pretty good. The method of administration can also affect how much tramadol is needed to get high. Can I take 2 50mg tramadol at once? Is There Codeine in Tramadol? But when testing for Tramadol. An allergic reaction to tramadol is rare. Nucynta may also be used for purposes not listed in this medication guide. It may cause a discontinuation syndrome if abruptly stopped. Using products containing alcohol during treatment with ULTRAM may cause you to overdose and die. ULTRAM is not recommended for obstetrical preoperative medication or for post-delivery analgesia in nursing mothers because its safety in infants and newborns has not been studied. I understand everyone reacts differently to medication, but if there is a specific manufacturer that has worked well for you and your willing to share please do. Somehow I will just have to deal with the pain because I do not want to lose all of my hair.