What other drugs affect Tramadol?
You may be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following medications: an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft) Before taking tramadol, tell your doctor if you also use: carbamazepine (Tegretol) warfarin (Coumadin) digoxin (Lanoxin, Lanoxicaps) ketoconazole (Nizoral) erythromycin (E-Mycin, E.E.S., Ery-Tab) rifampin (Rifadin, Rimactane, Rifater) St. John’s wort quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or drugs that make you sleepy (such as cold medicine