Codeine & Tramadol

[Ale]

Ok I already know this is gonna create some discrepancies as a subjective thread but still..Do you guys think of the Codeine+Tramadol association as a good mix to go or do you just think it should be avoided or anyway not recommended.In other words..do you think that Tramadol is likely to act as a booster by enanching the effects of Codeine or just end up inibhiting them?

[Tortoise]

The codeine will boost the tramadol but may boost it into seizure territory so Swit wouldn't even think of doing it.

Swit has read that it is unsafe to combine tramadol with any opiates/opiods, but particularly codeine as it interferes with one of the liver enzymes used to metabolize tramadol.

Don't do it.

[Orchid_Suspiria]

Codeine should be good enough on its own.Tramadol and codeine feel somewhat similar so only one or the other should be needed on their own.Just stick to either just codeine or just tramadol.

[ISmokeCigarettes]

First post so apologies if I get anything wrong (etiquette related lol).
Swim used both Tramadol and Codeine daily, for six years. Swim only used the mixture of the two because Swim couldn’t get as much codeine as Swim wanted.
Swim would like to advise against using the two together. Mixing the two isn’t really any different from taking a larger dose of codeine alone and it just complicates matters with no real benefits.
Swim had seizures and overdoses numerous times (in the six years), usually after loosing count of the doses (once they exceeded 200mg of Tramadol and 200mg of codeine), after double dosing accidentally or using other drugs (some opiate based) with his dose..
Drug and overdose related seizures are absolutely horrible and a definite thing to avoid.
Sticking with one or the other is the best bet.

[Henfer]

also, tramadol has pretty low receptor affinity and SWIM considers it a waste to mix tramadol with other opiates. Codeine is morphine in the end (metabolized to), and that itself is great enough. in SWIM's opinion, either do tramadole OR codeine.

[sl1p609]

so its better to save your money at the pahrmacy for OTC? swim rarely wants to get tramadol because is sick of codeine. But i except that morphine is being converted in my liver so swims save money and orders all codeine

[Tortoise]

Originally Posted by sl1p606

so its better to save your money at the pahrmacy for OTC? swim rarely wants to get tramadol because is sick of codeine. But i except that morphine is being converted in my liver so swims save money and orders all codeine

Umm... What?

[Henfer]

SWIH generally considers tramadole a waste if not combined with a good downer combo like lorazepam or alprazolam or even valium. it just does not "kick in"; it's a nice pain killer for moderate pain kill although,

500mg tramadole and 1000mg metamizole got SWIH rid of very severe tooth pain easily. ok, SWIH has to admit, 40mg alpaurin (which is diazepam) helped a bit too.

PS. 500mg tramadole is nothing, even for somebody without tolerance in SWIH's eyes, but it's a pretty nice high for being "at work". SWIH's usually preferred opiod is Tilidine 300mg, but with that, people WILL notice you being fucked up. However, 500mg tramadole and people thing you're just in a great mood.

[Nargyle]

Originally Posted by Henfer

PS. 500mg tramadole is nothing, even for somebody without tolerance in SWIH's eyes, but it's a pretty nice high for being "at work". SWIH's usually preferred opiod is Tilidine 300mg, but with that, people WILL notice you being fucked up. However, 500mg tramadole and people thing you're just in a great mood.

500mg tramadol is a dangerously high doseage, maybe swiy is talking about 50mg tramadol which is one capsule and the regular doseage for pain, although for recreative purposes swim usually takes around 100-200mg sometimes even 250mg but he would never come near to 500mg.

swim repeats 500mg IS A DANGEROUSLY HIGH POSSIBLY SEIZURE INDUCING DOSE!!!

[Henfer]

SWIH's sorry that he didn't mention that SWIH is

- 180cm tall
- 115 kg heavy
- high tolerance through tilidine usage.

SWIH does know the pills swiy is talking about. it's those yellow/green pills, SWIH's are Trodon 50mg by Gruenenthal. whole package is 20x 50mg. maybe it's now that "good" stuff although it's per prescription from the aopthecary. SWIH can take a picture of them if you want. bought in balkan.

this is only PERSONAL experience and SWIH does really not know that this is a high dosage. also, generally speaking is "start with the highest daily dosage fior recreational usage", and the inlay says this would be 400mg.

[sl1p609]

Originally Posted by Tortoise

Umm... What?

yeah i blabb alot...i figure that tramadol is a codeine derivative so its all good now... its a waste of time to trade tramadol HCL over Codeine Phosphate

[sunshine_buddy]

Swim managed to get hold of 250 x 50mg tramadol capsules pretty cheaply, a couple of months ago, and was quite pleased as she heard normal recreational dosages of 200-250 mg produced codeine-like effects. Swim is female and 9 stone / 55kg, so she was shocked when she treid 200mg, then 300mg, and didn't feel anything at all until 400mg. This however was still mild and she only bacame satisfied with 500mg, up to 600mg.

Swim was sensible, and did start with 100mg because she does not want a seizure either.

Swim also treid 200mg tramadol with 48mg codeine, but did not feel much more than a 400mg dose of tramadol.

Swim has a lot of tramadol left, but isn't too keen- she much prefers her usual dose of 128mg codeine. Swim only takes tramadol when there's no codeine left.

[sunshine_buddy]

Swim also wonders, would a small dose, say 200mg tramadol boost 100mg of codeine?

[JuicyLucy]

Swim was prescribed 200mg slow release Tramadol (2 per day) and 30mg Dihydrocodiene (up to 8 per day.) After a year or so of this swim became tolerant and increased the Codeine dosage himself to 12 * 30mg per day with an additional Tramadol 50mg or 100mg tablet. Swim experienced several seizures and at one point was admitted to hospital after injury while seizing. This went on for about 6 months until Swim reduced back to the original dosage and seizures have not happened since.

Swim is 5ft 11inches tall and weighs 212pounds. Swim has been using opiate based pain relief for about 12 years for a chronic illness.

Swim does not feel that the pain relief provided by Tramadol is very good and has since moved onto Fentanyl patches with Dihydrocodiene for breakthrough pain.

[sarbanes]

Many people don't know that codeine can also cause convulsions (its not just tramadol), however, nada worries abat combo unless you have bup in your sys (cuz the cod). 4oh sum reason bup don't antagonise tramadol (even tramadol m1 opioid agonistic effects, oddly nuff)

[Ethyl]

SWIM has been using heroin (really good quality) and today he was starting to withdraw from a 1gr binge and today he took 2 grapefruits and 2 hours later 300mgs of tramadol, then waited another 3 hours and took 430mgs of codeine.
He reports that he is actually feeling well, not euphoric like heroin, but actually a body confort and a good feeling, actually euphoric..
He usually takes codeine or tramadol and does not reach this point of feeling good when he takes them alone, as he has now a heroin tolerance.

[travelingman]

SWIM takes 400mgs suspended release tramadol with codeine all the time and loves it. SWIMs doctor prescribed that when he took SWIM off of the deliciousness of hydromorphone. SWIM gives tramadol and codeine two thumbs up!

[sarbanes]

Tramadol is interesting. It is a very weak opioid, but qualitatively for some, one of the most euphoric. Opioids are much like benzos, in that there can be huge difference in fine effect between them. For some reason there is a common misconception that an agonist is an agonist is an agonist, and some are more potent than others, some come on slower/faster, but all have essentially the same fine effect. This couldn't be farther from the truth. Even among structurally very similar (morphine, oxymorphone, hydromorphone), huge difference in fine effect. Oxymorphone and hydromorphone are somewhat interesting in that for most, they are highly euphoric, but for some (especially those who prefer plain old morphine drip), cause very little subjective euphoria. Much higher degree of consistency for their codeine analogs.

[chico]

swim has seen in practice both tramadol and opiods used together safely (at normal doses). tramadol only a problem when used long term or at high doses because it increases serotonin.

[yaba]

Swim mixed tramadol and dihydrocodeine like 200-300mg tramadol and 120mg dihydrocodeine a few times when he was in lots of pain without any problems. He als mixed tramadol and codeine without any problems.

Swim thinks its not wise to mix but when swim is in pain he doesn't care.

[donzen]

tramadol and codeine 400/200 or dhc 400/120 mix very well but tramadol and tillidin (valoron) are much more usefull 400/150..

Just for me and my mates especially my girlfriend.
But i also saw persons that got serious problems of combinations especially with ssri's.

[fiveleggedrat]

Swim mixed heroin with tramadol, and did not get much out of the tramadol.

Swim was not passed out nodding high, but at a lower dose, insufflated.