Mao Inhibitors + Tramadol Hydrochloride And Acetaminophen Interaction

Majorinteraction on record

Description

Increase tramadol plasma concentration, potentially causing seizures, serotonin syndrome, opioid toxicity, and potentially fatal respiratory depression.

Mechanism

Inhibition of CYP3A4 metabolism of tramadol, increasing M1 formation via CYP2D6

Source: NLP:tramadol hydrochloride and acetaminophen