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Tramadol and Alcohol – Risks – Consequences – Side Effects


Tramadol and alcohol: Prescribed to relieve moderate to severe chronic or acute pain. Its brand name is Ultram and is typically combined with acetaminophen to improve pain-eliminating qualities.

  • It comes in immediate release and extended release forms, with immediate release tablets providing pain relief within one hour of ingestion
  • Peak analgesic effects occur between two to four hours following administration
  • The most commonly prescribed dosage are 50mg to 100mg
  • This drug is about 10 percent as potent as morphine.

Tramadol and Alcohol

Since Tramadol is not nearly as potent as true opioids, getting high on Tramadol can require doubling or tripling dosages. To enhance Tramadol’s effects when they cannot access extra Tramadol, some abusers often resort to mixing Tramadol with alcohol.

  • Overdosing can occur when combining Tramadol and drinking because users cannot remember how many Tramadol pills taken.

Side Effects

In addition to alleviating pain, Tramadol has possible side-effects. This drug can cause the following:

  • Drowsiness
  • Vertigo/dizziness
  • Euphoria
  • Blurry/double vision
  • Nausea/vomiting/diarrhea
  • Dry mouth
  • Impaired speech
  • Clumsiness/uncoordinated movements

Signs of an allergic reaction to this drug involve hives, difficulty breathing and swallowing, swollen tongue/lips and muscle tremors. Seeking immediate emergency treatment is essential for preventing respiratory distress, seizures and possibly, coma.

Is Tramadol an Opiate?

Technically, this drug is not considered an opiate because none of its ingredients include poppy plant derivatives. It works to relieve pain by acting on receptor sites targeted by medicinal and illegal opioids. It also exerts antidepressant properties by increasing levels of serotonin in the brain. People taking it for an extended time may suffer serotonin syndrome if they abruptly stop taking it. Sudden reduction of serotonin levels can cause severe headache, dizziness, agitation, nausea and flu-like symptoms.

  • Since this medication can be addicting, it is considered by physicians to be a narcotic-like medication.

In addition, users will develop tolerance to the drug’s analgesic effects if taken as a long-term pain management solution. Consequently, people who become drug dependent need higher dosages to avoid suffering withdrawal symptoms similar to symptoms experienced by heroin or opiate pain pill addicts.

Tramadol Dependency

Anyone who becomes dependent on this medication should not try to go “cold turkey”.¬† Always seek medically supervised¬† detoxification. Withdrawal can cause severe consequences. Symptoms of withdrawal may include:

  • Extreme anxiety/agitation/depression
  • Suicidal ideation
  • Strong cravings for Tramadol
  • Vomiting
  • Headaches
  • Chills/sweating/muscle aches
  • Nightmares
  • Muscle cramping



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