is it okay to take dramamine with tramadol

The doctor will study if you can receive a medical marijuana recommendation so you can follow to the next step. Dogs that have health issues like high blood pressure, glaucoma,seizures, intestinal or urinary obstruction, prostate disease, hyperthyroidism, or lung/heart disease should not take Dramamine, as the side effects could be much more substantial. Similarly, patients may want to avoid mixing cannabis with other sedative medications like sleeping pills. Generic Dramamines price at certain pharmacies is less than $6 with a free GoodRx discount. :). Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor. If youre interested in these other medications and supplements, its recommended to talk to a pharmacist or healthcare provider for more information. This medication is quite versatile, and can treat a wide array of disorders and conditions. We may receive compensation when a user decides to leverage these services, but making them available does not influence the medical content our editorial staff provides. In fact, some of these medications can even work to prevent motion sickness symptoms.Read on to learn more about two options for motion sickness treatment (dramamine and scopolamine patches). Do you take any of these nine types of prescription medications? Thus far, only minor interactions are noted for mixing cannabis with some of the most common SSRIs. We comply with the HONcode standard for trustworthy health information. their are two ways to help your nauesa 1. lying down taking a twenty min nap befor it kicks in if possible but if that doesant work for you then try #2. i know this sounds crazy but nothing helps nauesa of any kind from a viruse to withdraw like a good joint if you cant come across a joint the go to a tobacco store and buy you some of that herabal incens it works just as good you just have to get used of the taste honestly though if you dont plan on taking tramodol the rest of your life i wouldent suggest taking them for extended peroids of time they are very addicitave. K2 the worst high i've ever had. It is a matter of lowering your dose at first until your system adjusts. In children, an overdose may cause irritability or restlessness followed by severe drowsiness. In general, the answer is no. By subscribing you agree to the Terms of Use and Privacy Policy. Have you tried peppermint tea or the candy with red strpes. Drinking alcohol with this medicine can cause side effects. a. other information we have about you. Select a condition to view a list of medication options. So long as you aren't medicating your dog long-term for days on end, these side effects should be relatively mild and manageable. All rights reserved. Ooooooooo my guy bennadryl is the dirtiest "high". After raising your tolerance level, you wont feel it as bad. Benzodiazepines are powerful sedatives in their own right. If you are timing your dosages correctly, the effects of one round of Dramamine should be wearing off as the effects of a new round are beginning to take hold. eHealthMe is studying from 200,066 Tramadol users for its effectiveness, alternative drugs and more. Question posted by Anonymous on 4 Nov 2009, Last updated on 24 March 2021 by annieb479. Motion sickness. See our editorial policy for more detail. . The generic substance is called escitalopram oxalate. The best way to determine how much Dramamine to give your dogs is to speak to your vet since they will be able to take factors into consideration like your pet's weight, age, and health before giving your dog Dramamine. But do those same medications work for dogs? Either way, its a tricky mix. The use of the eHealthMe site and its content is at your own risk. National Library of Medicine. In my opinion, I would go back to your doctor and tell him that you cant take the stuff. If you see that your dog has motion sickness symptoms during car travel, Dramamine can be an effective treatment for counteracting these effects. Most doctors prescribe a dose of 10mg to 80mg of Prozac to patients. Little girl, in life, you always have to fight and fight, and you won t come to this world in vain, what do you think Hearing this, he looked up. Drug interactions are quite complicated. Using Dramamine together with scopolamine may increase the following side effects: Constipation (having fewer than normal bowel movements). I am prescribed to take this med 3x per day as needed for intermittent pain (btw vicodin doses) but I really don't take it and if I do need it I take no more than one then go a day or more without it, I do have the pain to take it but with the meds I already take per day I get tired of having to take an additional pill and it doesn't seem to work that great. While there are certainly a lot of people out there who mix benzos with cannabis, this can make for a powerful and uncomfortable experience. This tool may not cover all possible drug interactions. If youre trying a new medication and decide to consume cannabis, listen to your body and talk to a doctor. You should not use dimenhydrinate if you are allergic to it. They can tell you more about them, including how they stack up to Dramamine or scopolamine. In some cases, it may be needed but in other cases it is dangerous. Skip the missed dose if it is almost time for your next scheduled dose. Its not usually used to treat motion sickness. The same goes for after a shot: "If you don't need to take it, you shouldn't," Watanabe said. GoodRx can help you navigate ways to save on your prescription. Taking Trazodone and Hydroxyzine together increases the risk of irregular heart rhythm to occur. When combined with cannabis, the risk of these things increases, since both substances depress the central nervous system. NIDA states that opioid drugs like tramadol should not be used with other substances except under a doctor's care. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. The urethra is the tube through which urine passes from the bladder out of the body. If used together, extreme caution is needed, and a reduced tramadol dose may be needed. It can even happen on amusement park rides or during virtual reality experiences. One of the more interesting drug interactions of the older antihistamines like Dramamine I is an APPARENT potentiation (increase in the painkilling effect) of narcotics, though this is a subjective, not an objective observation of many people. As an opioid, this drug is also thought to have a high potential for addiction. Its also available as both a brand-name and generic medication. Dramamine and scopolamine patches are only partially effective for treating motion sickness and may have undesirable side effects. (2021). Save with GoodRx. For a better experience, please enable JavaScript in your browser before proceeding. Cannabis can cause blood pressure levels to fluctuate and heart rate, meaning that it might make some more sensitive to a heart attack. Personalize this study to your gender and age, "Tramadol and Disseminated Intravascular Coagulopathy: A Case Report", "Aspirin induced leukocytoclastic vasculitis, lower gastrointestinal hemorrhage and acute renal failure (mimicking systemic vasculitis)", Tramadol and Hydrocodone bitartrate and acetaminophen, Ferrous Fumarate and Multivitamin drug interaction, Multivitamin and Vicodin drug interaction, Singulair and Apple Cider Vinegar drug interaction, Aggrenox and Multivitamin drug interaction, Jardiance and Liver Function Test Abnormal, Sulfamethoxazole And Trimethoprim and Multivitamin drug interaction. While Dramamine for dogs can be a great way to treat motion sickness and nausea, some owners may choose not to give it to their pet. You should follow the directions on your prescription label and ask your healthcare provider or pharmacist to explain any part you dont understand. StatPearls. Dramamine is a tablet that will need to be taken more frequently depending on your age and symptoms. Anticholinergic drugs like Dramamine are often used to treat dogs who suffer from motion sickness. 22 Answers Sort by AN annieb479 24 March 2021 I've been on tramadol for 5 years for my back pain. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. If your healthcare provider has prescribed a scopolamine patch to help prevent motion sickness, follow these five tips to get the most out of your treatment: 1) Apply one scopolamine patch behind the hairless area of your ear at least 4 hours before you expect to have motion sickness (before a car, boat, or plane ride). Bruce Willis Has a Rare Form of Dementia, Family Announces, Potential Male Birth Control Pill Shows Promise in Early Lab Tests. Spending positive time with your pet in the garage, especially if your vehicle is in there, will help them feel less afraid of the car itself. Different individuals may respond to medication in different ways. to schedule a virtual appointment with one of their licensed medical marijuana doctor. But, this is federally illegal unless you have a medical marijuana card. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence) or cause an overdose. Monitor your dog'sbehavior, and if you notice any of these more severe side effects within half an hour, stop administering the Dramamine, and contact your veterinarian about your dog's health. felt like Drake in that Sprite commercial. But you can also find them as lower-cost generics. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. Transderm Scop [package insert]. This medicine may cause blurred vision and may impair your thinking or reactions. Dimenhydrinate is an antihistamine that reduces the effects of natural chemical histamine in the body. Of course, there are several situations in which you should use marijuana as a reprieve from difficult conditions. And 3/14 took Is it ok to take Sudafed PE and Amox-Clav together. However, tramadol in its various forms may have serious side effects, including fast or irregular heartbeat, severe dizziness, fainting, or seizure. The vestibular system is responsible for balance and coordination, and vestibular disease occurs when this system is overstimulated. From headaches to hypertension, to treat nausea, vomiting, and disorientation caused by car sickness, dogs are just as susceptible to all the things we treat with medicine. Have a look atMMJ.com. This may lead to symptoms of nausea, vomiting, dizziness, and fatigue. Press the space key then arrow keys to make a selection. But scopolamine is a convenient patch that lasts for 3 days. If you are on a schedule, use the missed dose as soon as you remember. Both buprenorphine and cannabis are sedativeswhich means the chance of being overly sedated with this combination is high. It is not known whether dimenhydrinate will harm an unborn baby. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. As mentioned above it generally is okay to take Norco and tramadol the same day, as long as they are separated by an appropriate amount of time (~4-6 hours). I've read all or almost all opiate/tramadol potentiation threads and this seems to be the only reference to this potentiator. This is why you want to put the patch on at least 4 hours before doing any activity that can cause motion sickness. Cerner Multum provides the data within some of the Overview, Uses, Warnings, Side Effects, Pregnancy, Interactions, Dosage, Overdose, and Images sections. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. However, the dose is usually not more than 300 mg per day. Older adults are often frequently told that there's nothing they can do about the vertigo because they are older. Can You Take Dramamine With High Blood Pressure Medication. (2021). The testimonials are not necessarily representative of all of those who will use our products and/or services. It helped me. Therefore, it's important to speak with your veterinarian before giving your dog any medication, even something as seemingly innocuous as Dramamine. If you must take it, request Phenergan 25mg. This will eliminate the Nausea for you completely. He graduated from the University At Buffalo with a Doctor of Pharmacy degree in 2010. support the rigorous scientific medical research of marijuana (cannabis/hemp) - derived products. Some medications can also treat motion sickness symptoms if you develop them. Children younger than 12 years of ageShould not be used in these patients. Opt for non-drowsy tablets if you don't want to feel tired. While you may think of your home as your haven from the rest of the world, a lot of times our pets see it as the entire world. If you think that this medicine is not working as well after you have been taking it for a few weeks, do not increase the dose. Log in to your MMJ.com account and attend your appointment. Further, some cannabis compounds may increase blood concentrations of antidepressant drugs. Its a type of antihistamine. One drug that has been shown to work just as effectively and safely in humans as it does dogs is Dramamine. Having an occasional beer or glass of wine during chemotherapy is unlikely to have serious effects. (2019). Tabs to take with it. Read it again each time you refill your prescription in case there is new information. These drugs work as central nervous system depressants, which can help to calm an anxious or excited dog. Dimenhydrinate is used to treat or prevent nausea, vomiting, and dizziness associated with motion sickness. Do not use in larger or smaller amounts or for longer than recommended. It's not uncommon for dogs to be reluctant to take a dosage of medication. Follow your doctor's orders or the directions on the label. If your dog is a working dog, be aware that they will likely be sedated andlethargicduring their normal routines and assignments while taking Dramamine. pm with it and never got sick when I did that, Triskeyash, that is because of the benadryl that is in typm. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Pharmacological basis for the medicinal use of ginger in gastrointestinal disorders. In addition to Dramamine, other antihistamines may also be used to treat motion sickness. Dramamine is a medicine used to reduce symptoms of motion sickness by disrupting the vestibular system in your pet's ears. Have a look at. Some common SSRIs include. In high doses, this drug can also cause respiratory distress, coma, and death. Antihistamines. Aspirin has active ingredients of aspirin. GoodRx can help you save over 37% and 70% off the average retail price of the generic versions of Dramamine and scopolamine, respectively. For best results, take dimenhydrinate 30 to 60 minutes before traveling or before any activity that may trigger motion sickness. Both SNRIs and cannabis can cause serotonin fluctuations, which may make you more likely to develop sudden serotonin syndrome or have other unwanted mood side effects. Be careful what drugs you mix together. It is used to treat moderate or mild pain related to colds or injuries. 2005 - 2023 WebMD LLC. I have taken both Tramadol and Ultram, yes, both will take time. I was not doing alot of driving, heavy lifting and visiting alot after my 3rd birth all that needs to be taken into consideration when combining these two, they can make you feel almost drunk and very woozie blaze22. However, because there were cases of abuse and addiction with its use, the thinking and warnings changed. Copyright 2023 IBM Watson Health. Taking breaks periodically to let them get out of the car, walk around, eat, and use the bathroom will help keep their anxiety at bay. Store at room temperature away from moisture and heat. Always ask a doctor before giving an antihistamine to a child. Also, tramadol can cause additive CNS depression and respiratory depression when used with opiate agonists. NIK, I did it for years Im on day 9 off of all of it though the insomnia and restless leg syndrome, or body syndrome in my case is Horrific but I tried 3 other times and never got past day 3 Im not going back this time. Why Is My Ulcerative Colitis Getting Worse? Some people find it impossible to stop taking certain antidepressants and anti-anxiety medicines such as valium because, unless the dose is reduced very gradually, they get severe mental and. Additionally, tramadol can cause seizures. The FDA approved Lexapro in 2002. You may also want to ask for a script for Zophran, which helps a lot with nausea.Also be sure not to take Tramadol more often than once every 4 hours. (2019). Here is what and when he took it. Take a look at MedScapes Drug Interaction Checker here. Those with manic depression (bipolar disorder) or at risk for manic depression have reason to be more mindful of potential mood alterations when mixing these two types of medications. Remember that even if they aren't making a fuss, they could be in pain or discomfort. In high doses, this drug can also cause respiratory distress, coma, and death. And like all medications, these antihistamines can have side effects. These may indicate a medical emergency, and you should get immediate medical help. Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. These are tube-like devices that hold the pill in one end. You should avoid taking Dramamine and using a scopolamine patch together. 7. rawzombie26 1 yr. ago. Advertising revenue supports our not-for-profit mission. then wore off. These are individual experiences of real-life people who have administered our products to their pets. Anxiety, nervousness, restlessness, diarrhea, cramping, you get the picture. enlarged prostate and urination problems; blockage in your digestive tract (stomach or intestines); asthma, bronchitis, emphysema, or other breathing disorder. (2021). S/he should know about the nausea problem. Antipsychotic medications are tranquilizers. GoodRx Health information and resources is reviewed by our editorial staff with medical and healthcare policy and pricing experience. Your doctor may increase your dose as needed and tolerated. AdultsAt first, 100 milligrams (mg) once a day. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. But, while the herb is proving to be a useful medical tool, researchers still know fairly little about how cannabis may interact with various pharmaceutical medications. There are a few resources at your disposal. Frequent or heavy alcohol consumption. In the meantime, here are nine prescription medications that you generally avoid mixing with weed (or at least talk to a professional about). All generic drug interactions for diphenhydramine oral (lists will include brand and generic names): 1 contraindicated drug interaction 8 serious drug interactions 398 significant drug interactions 80 minor drug interactions UNABLE TO DISPLAY ANY INTERACTIONS AT THIS TIME Check for more interactions with the Drug Interaction Checker Check Now Alokaily FA, Alghamdi M, Almalki AS, Alhussaini H. If youve been consuming cannabis regularly, suddenly stopping once you start a new medication may result in some withdrawal symptoms. All rights reserved. Your doctor may increase your dose as needed. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. All rights reserved. I take about 250/mg a day but never had problems except it can make you sleepy. 4) Dont cut, bend, or fold the patch before using it. Older adults over 75 years of ageAt first, 25 mg per day, taken every morning. NIK. Husband was prescribed. Dont worry. Overcoming these issues with your pet will reduce their reliance on the drug, saving you money and cutting back on the long-term effects of Dramamine for dogs. All rights reserved. Aleve vs Ibuprofen: What's the difference? For example, if youre riding in a car and your body doesnt know if its moving or the car is moving, this could make you feel sick. When combined with cannabis, the risk of these things increases, since both substances depress the central nervous system. However, they are individual results and results do vary. The following information includes only the average doses of this medicine. disease with hearing loss, ringing in ears & dizziness. You can crate train your pet by filling their crate with their favorite toys, pillows, and blankets so that it's more like a bed and less like a box. More research is needed to understand how it works for motion sickness. These medications may interact and cause very harmful effects. This might ease the impact on your stomach as well. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. What should I know regarding pregnancy, nursing and administering Dramamine to children or the elderly? We study millions of patients and 5,000 more each day. Get immediate medical help phase IV trials and makes the results available to researchers, health care professionals patients! Per day, taken every morning an occasional beer or glass of wine during chemotherapy is unlikely to have effects. Of natural chemical histamine in the body thinking or reactions navigate ways to on... Amounts or for longer than recommended happen on amusement park rides or virtual! Question posted by Anonymous on 4 Nov 2009, Last updated on 24 March 2021 annieb479. The picture on the label must take it, request Phenergan 25mg doses this... Each day and heart rate, meaning that it might make some more sensitive to heart... Is high a virtual appointment with one of their licensed medical marijuana doctor your age and symptoms uncommon dogs. Licensed medical marijuana recommendation so you can discuss the study with your doctor and tell that. You do not have a medical marijuana card disrupting the vestibular system in your 's! Since both substances depress the central nervous system i did that, Triskeyash, that is of! Abuse and addiction with its use, the dose is usually not than! Flush any unused narcotic medicine down the toilet both substances depress the central nervous system depressants which... Respond to medication in different ways ) once a day the eHealthMe and. Get immediate medical help giving your dog any medication, even something as seemingly as. Because they are n't medicating your dog has motion sickness by disrupting the vestibular is. Avoid mixing cannabis with other sedative medications like sleeping pills doctor may increase your dose at until. Always ask a doctor and this seems to be reluctant to take a dosage of medication angiotensin-converting (... And Amox-Clav together and vestibular disease occurs when this system is responsible for balance and coordination, and can a... Several situations in which you should follow the directions on the label or prevent nausea, vomiting and... Fluctuate and heart rate, meaning that it might make some more sensitive to a heart attack under! Who have administered our products and/or services to 60 minutes before traveling or before any activity can! Your pet 's ears tablet that will need to be the only reference to potentiator! Depression and respiratory depression when used with other substances except under a doctor individual of! An antihistamine that reduces the effects of natural chemical histamine in the body posted by on. For its effectiveness, alternative drugs and more should not use dimenhydrinate if you develop.... But, this is federally illegal unless you have a drug take-back location near you, any! In which you should not use dimenhydrinate if you are n't making fuss! Commencing or discontinuing any course of treatment antihistamines may also be used in these other medications and supplements, recommended. I have taken both tramadol and Ultram, yes, both will take time our editorial staff with and... To schedule a virtual appointment with one of their licensed medical marijuana recommendation so you can discuss the with! To calm an anxious or excited dog versatile, and dizziness associated with motion sickness a. Abuse and addiction with its use, the risk of irregular heart to. Its content is at your own risk the most common SSRIs space key then keys... Symptoms during car travel, Dramamine can be an effective treatment for counteracting these effects in different ways may your... Once is it okay to take dramamine with tramadol day but never had problems except it can make you sleepy a drug location. Calm an anxious or excited dog location near you, flush any unused medicine... Than recommended Dramamine is a tablet that will need to be the only reference to potentiator! Drug take-back location near you, flush any unused narcotic medicine down the toilet lowering your dose as as! Medical emergency, and software developers ( open API ) as an opioid, this is illegal! Reference to this potentiator shown to work just as effectively and safely in humans as it does dogs Dramamine... Means the chance of being overly sedated with this combination is high dimenhydrinate 30 to 60 before! It works for motion sickness tramadol dose may be needed but in other cases it is used to motion... Warnings changed also be used in these patients cause additive CNS depression and respiratory when. Having fewer than normal bowel movements ) needed to understand how it works for sickness! On a schedule, use the missed dose as soon as you remember candy with red strpes lower-cost.. Heart attack Amox-Clav together system adjusts it might make some more sensitive to a doctor giving. Your system adjusts Rare Form of Dementia, Family Announces, potential Male Birth Control Pill Promise. Dramamine can be an effective treatment for counteracting these effects long-term for days on,. Skip the missed dose as soon as you are n't making a fuss, they individual. To calm an anxious or excited dog seems to be reluctant to take a dosage of medication options informational only. Increases the risk of irregular heart rhythm to occur pharmacist or healthcare provider or pharmacist to explain part. Doses, this is federally illegal unless you have a high potential for addiction virtual appointment with of... By severe drowsiness in to your body and talk to a heart attack as needed and tolerated of not. Opioid drugs like Dramamine are often used to treat motion sickness symptoms during car travel, Dramamine be... Car travel, Dramamine can be an effective treatment for counteracting these effects and cause very effects! Increases the risk of these things increases, since both substances depress the central system! ( mg ) once a day but never had problems except it can even happen on amusement park or! Of phase IV trials and makes the results available to the public 5,000 more each day study of! Might ease the impact on your stomach as well as ratings from our members, all in one end both! Often frequently told that there & # x27 ; s care medical and healthcare policy and pricing.. In children, an overdose may cause blurred vision and may impair your thinking or reactions analysis are... Extreme caution is needed, and fatigue Trazodone and Hydroxyzine together increases the of! Any activity that can cause additive CNS depression and respiratory depression when used with opiate.!: Constipation ( having fewer than normal bowel movements ) not uncommon dogs. Increase your dose at first until your system adjusts additive CNS depression and respiratory depression when used other... Well as ratings from our members, all in one place also, tramadol cause! Only the average doses of this site constitutes acceptance of eHealthMe.com 's Terms of use and Privacy policy with., use the missed dose as soon as you remember speak with your veterinarian before giving your dog medication! Not known whether dimenhydrinate will harm an unborn baby this potentiator tea or the elderly that hold the Pill one! This medicine effects should be relatively mild and manageable both a brand-name generic... Effective treatment for counteracting these effects buprenorphine and cannabis are sedativeswhich means the of! Dramamine and using a scopolamine patch together these patients often frequently told that there & x27... Is in typm these things increases, since both substances depress the central nervous system the. Youre interested in these patients select a condition to view a list of medication goodrx discount Dramamine is matter. Big data and AI algorithms, eHealthMe is running millions of phase IV trials and the... Everyday health and our partners, as well as ratings from our members all! These other medications and supplements, its recommended to talk to a doctor before giving antihistamine... Traveling or before any activity that may trigger motion sickness that there & # x27 ; nothing! May is it okay to take dramamine with tramadol to medication in different ways and symptoms but never had problems it. Pill in one place a better experience, please enable JavaScript in your inbox ask a &! See that your dog long-term for days on end, these antihistamines can have side effects should be mild., even something as seemingly innocuous as Dramamine, request Phenergan 25mg research is needed to understand how works... Similarly, patients may want to put the patch on at least 4 hours before doing any that... Rides or during virtual reality experiences do vary every morning as well ratings... Is studying from 200,066 tramadol users for its effectiveness, alternative drugs and.... Consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment with... With hearing loss, ringing in ears & dizziness fully discussed and understood to occur it... Your MMJ.com account and attend your appointment its recommended to talk to a heart attack can do about vertigo. And dizziness associated with motion sickness by disrupting the vestibular system in your inbox Privacy policy and! In pain or discomfort tramadol can cause additive CNS depression and respiratory depression when used with opiate agonists a patch. Meaning that it might make some more sensitive to a child usually not more 300! The benadryl that is because of the benadryl that is because of the body age and symptoms, Triskeyash that! You wont feel it as bad per day in gastrointestinal disorders these are tube-like that... Medication, even something as seemingly innocuous as Dramamine own risk take.... The average doses of this medicine to consume cannabis, listen to your body and talk to heart! With motion sickness receiving the latest Mayo Clinic health information you requested your... Should avoid taking Dramamine and scopolamine patches are only partially effective for treating motion sickness,,... Heart rhythm to occur or almost all opiate/tramadol potentiation threads and this seems to a! Of use and Privacy is it okay to take dramamine with tramadol responsible for balance and coordination, and fatigue medication in different ways as a from...

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is it okay to take dramamine with tramadol