MajorAmitriptyline + Tramadol

Can you take Amitriptyline and Tramadol together?

This page explains what happens if Amitriptyline and Tramadol are taken together, according to official sources.

What happens

Severe Serotonin Syndrome and convulsion hazard

Concurrent tramadol and amitriptyline significantly elevates seizure frequency and induces severe serotonergic hyperactivity.

Recommended management

Avoid concurrent administration. Substitute analgesia with paracetamol or non-serotonergic therapies.

Talk to your doctor or pharmacist about these two medicines; don't stop a prescribed medicine on your own.

Clinical references

Last updated: Sep 25, 2026

Before changing or stopping any medicine, ask your doctor or pharmacist. Never stop your medicine on your own.