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there are no known contraindications causing significant health risk in the combination of these two drugs. however, both are powerful chemicals, and both cause dramatically different effects, so taking them both can end up being a very confusing experience to the user. in addition, cocaine is a very nasty drug to mess around with, as is roxicodone (or any opiate), so please be careful.

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15y ago
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9y ago

Assuming you mean anabolic steroids, that combination is likely to age you quick if not kill you with a heart attack.

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Q: Effects of mixing opioid and anabolic steroids?
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Technically, no. Morphine is an opioid, while tramadol is an "opioid like substance". For all intents and purposes - yes. Both act on the same receptor, the opioid receptor (mu), both act as painkillers by identical means on the opioid receptor and both are prescribed as painkillers. The difference being that morphine acts only on the opioid mu receptor (with minor affinity to the other opioid receptors) while tramadol acts on the opioid mu receptor AND as a serotonin and norepinephrine reuptake inhibitor producing its unique side effect profile among opioid like painkillers. Finally, in practice while morphine is a much stronger painkiller (due to its affinity rather than its mechanism) it has the standard opioid side effects of drowsiness, constipation, etc. Tramadol, on the other hand, reduces pain by both the opioid component and the serotonin-increasing component. This gives it approximately twice the potency it "should" have if looking at only the opioid component - the drowsiness, constipation and addiction aspects. Further, the serotonin can promote wakefulness (though not for everyone) countering some of the negative opioid side effects. This sometimes makes it a preferable to the codeine/hydrocodone type drugs, although this usually is the patients choice. Source - long term pain management patient and medical doctor, F2.