Drug General Information (ID: DDI2MF3AO9)
  Drug Name Tramadol Drug Info Cocaine (nasal) Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Analgesics Anesthetics
  Structure

 Mechanism of Tramadol-Cocaine (nasal) Interaction (Severity Level: Major)
     Increased risk of lowers seizure threshold Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Tramadol Cocaine (nasal)
      Mechanism Lower seizure threshold Lower seizure threshold
      Key Mechanism Factor 1
Factor Name Lowers seizure threshold
Factor Description The combination of medications that lower the seizure threshold is a factor that makes people with epilepsy more likely to have seizures. A seizure is a sudden, uncontrolled electrical disturbance in the brain that can cause changes in your behavior, movements or sensations, and level of consciousness.
      Mechanism Description
  • Increased risk of lowers seizure threshold by the combination of Tramadol and Cocaine (nasal) 

Recommended Action
      Management Caution is advised if tramadol is administered with any substance that can reduce the seizure threshold, particularly in the elderly and in patients with epilepsy, a history of seizures, or other risk factors for seizures (e.g., head trauma, brain tumor, metabolic disorders, alcohol and drug withdrawal, CNS infections).

References
1 Pisani F, Spina E, Oteri G "Antidepressant drugs and seizure susceptibility: from in vitro data to clinical practice." Epilepsia 40(Suppl 10) (1999): S48-56. [PMID: 10609604]
2 Gardiner JS, Blough D, Drinkard CR, et al. "Tramadol and seizures: a surveillance study in a managed care population." Pharmacotherapy 20 (2000): 1423-31. [PMID: 11130214]
3 Product Information. Ultram (tramadol). McNeil Pharmaceutical, Raritan, NJ.