Suboxone is effective for treating opioid use disorder and is safe when taken under the supervision of a doctor, but the buprenorphine and naloxone in Suboxone can interact with some other medications. For this reason, it is important to ensure that a medication is safe to take before using it alongside Suboxone.
One medication that can potentially interact with Suboxone is the prescription drug tramadol. So, can you take tramadol with Suboxone? Learn some answers below, but always be sure to consult with your doctor before taking any medications together.
What is Tramadol?
Tramadol is an opioid pain medication used to treat moderate to moderately severe pain, and it is classified as a Schedule IV Controlled Substance, as some people may misuse the drug. Tramadol is considered a narcotic medication and belongs to the same class of drugs as opioids like hydrocodone and oxycodone.
Can You Take Tramadol and Suboxone Together?
People may wonder, “Can you take tramadol for pain while on Suboxone?” In most cases, Suboxone and tramadol should not be taken together, as the two drugs are known to have major interaction effects. A tramadol interaction occurs with Suboxone because buprenorphine, the active drug in Suboxone, acts as a partial opioid agonist. This means that it activates the same receptors as opioid drugs like hydrocodone, albeit to a lesser extent.
In addition, Suboxone contains a drug called naloxone, which discourages people from misusing opioids, since naloxone blocks opioid receptors and can also knock opioids off the receptors. Because of the way that Suboxone works, mixing tramadol with Suboxone can actually lead to withdrawal symptoms, as naloxone can knock tramadol off of the opioid receptors. Naloxone can also block the effects of tramadol and make it less effective for treating pain.
Dangers of Taking Suboxone and Tramadol Together
The primary danger when taking tramadol with Suboxone is experiencing withdrawal symptoms. This is especially likely if a person has been taking tramadol for a long period of time. If you are just starting on tramadol, taking it alongside Suboxone can reduce the effectiveness of the tramadol, leading to inadequate pain relief. For patients taking Suboxone, it is best to consult with a doctor about alternative pain medications, like ibuprofen.