Tramadol
Opioid
A weak opioid that also blocks serotonin and noradrenaline reuptake. Lowers the seizure threshold, and dangerous with stimulants, SSRIs and MAOIs.
Dose and effect data: PsychonautWiki (CC BY-SA 4.0) and TripSit (PolyForm Noncommercial 1.0.0).
Before you dose
Dose
Published population range
Basis: Tolerance dominates.
Tramadol lowers the seizure threshold and interacts dangerously with stimulants, SSRIs and MAOIs.
Check an amount you already have
Timeline (oral)
Bars show relative time in each phase, scaled to the total duration. Each phase keeps its colour in the list above.
Expected effects
- Analgesia
- Mild euphoria
- Energy and reduced anxiety (due to SNRI action)
Possible side effects
- Lowers the seizure threshold
- Serotonin syndrome with SSRIs, SNRIs, MAOIs or MDMA
- Nausea and dizziness
- Respiratory depression
- Dependence
- Dangerous with stimulants
Known toxicity
- low toxicity
- potentially lethal when mixed with depressants like alcohol or benzodiazepines
Harm reduction
- Never use alone. The single most effective thing you can do is have someone with you or on the phone.
- Carry naloxone and know how to use it. It reverses opioid overdose and cannot harm someone who has not taken opioids.
- Use fentanyl and nitazene test strips on every batch, including pills. They catch a large share of contamination, though not all of it.
- Start with a fraction of your usual amount when you get a new batch or after any break in use - tolerance drops fast, in days.
- Do not mix with benzodiazepines, alcohol, GHB or other sedatives. That combination is behind the majority of opioid deaths.
- If someone is unresponsive: call emergency services, give naloxone, put them in the recovery position and stay with them. Naloxone wears off before many opioids do, so a second dose may be needed.
- Prescribed opioid medication should never be shared or stockpiled - tolerance differences make it lethal.
Identify what you have
Reagent tests show what a substance probably is, not how pure it is or what else is in the mix. Fentanyl and nitazene test strips are the only reliable check for those, and quantitative lab testing is better than both.
Mixing
Tramadol and stimulants both increase the risk of seizures.
See interaction notes for details.
The sedative effects of this combination can lead to dangerous respiratory depression.
See interaction notes for details.
See interaction notes for details.
Tramadol and stimulants both increase the risk of seizures.
See interaction notes for details.
Central nervous system- and/or respiratory-depressant effects may be additively or synergistically present. Vomit aspiration is a risk when passed out, lay down in recovery position if ingested.
See interaction notes for details.
Heavy CNS depressants, risk of seizures. Both substances potentiate the ataxia and sedation caused by the other and can lead to unexpected loss of consciousness at high doses. Place the affected individual in the recovery position to prevent vomit aspiration from excess. Memory blackouts are likely.
Tramadol and stimulants both increase the risk of seizures.
See interaction notes for details.
Tolerance, dependence and detection
Sources
• PsychonautWiki — Tramadol (CC BY-SA 4.0)
https://psychonautwiki.org/wiki/Tramadol
• TripSit wiki — Tramadol (PolyForm Noncommercial)
https://wiki.tripsit.me
Dosina is educational harm-reduction information, not medical advice. Doses are population ranges from published sources and cannot account for your tolerance, health conditions or what is actually in your substance. Possession and use may be illegal where you live.