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Codiene is an actual opiate, used for moderate pain control, and as an antitussive. Tramadol is a synthetic opioid and analgesic, used for the treatment of mild to moderate pain. Both are mildly addictive.
What I've gathered it not wise to take together unless if prescribed low dosage. I received my meds from the VA Clinic, but I really don't trust my Doc since I told her That while in the service I was taking Paxil. Which is a no no when prescribing Tramadol.

I'm currently taking 50mg Tramadol 2x a day and codeine30/Acetaminophen 300mg 3x a day and Gabopentin (nero-blocker which I hate)
Taking 2 opioid drugs should be avoided. This multiplies the additive side effects, without a real "double efficiency". Moreover, you accumulate metabolites from the both drugs.

If needed, your doctor must consider to higher doses instead of using another opioid.

Occasional use (e.g. in Tylenol no 3) for migraine or additional pain (from another source) doesn't cause problem as long as you use it conscientiously.

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Anya Kub

Lvl 10
2y ago

What else can I help you with?