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Can I take Amlodipine and Tramadol together?

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Taking these two medicines together can cause your blood pressure to drop lower than intended. This might make you feel dizzy, lightheaded, or faint, especially when standing up quickly. There is also a small risk that tramadol could slightly interfere with how amlodipine is processed in your body, though the main concern is the combined effect on your blood pressure and heart rate.

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Varför detta händer

Both drugs can lower blood pressure through different pathways. Amlodipine relaxes your blood vessels, while tramadol can affect the central nervous system and occasionally cause 'orthostatic hypotension' (a drop in blood pressure upon standing). Additionally, both are processed by the liver, which can sometimes lead to one drug affecting the levels of the other.

It is generally safe to take these together, but you should be cautious. When starting tramadol or increasing your dose, get up slowly from a sitting or lying position to avoid dizziness. If you feel very dizzy, faint, or notice a very slow heartbeat, contact your doctor. It is a good idea to monitor your blood pressure at home more frequently when you first start taking both.

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Epilepsy or history of seizures

Tramadol can increase the risk of having a seizure, especially if you have a history of epilepsy or are taking other medicines that lower the seizure threshold.

Asthma or breathing problems

Tramadol can cause dangerous breathing difficulties (respiratory depression). You must not take it if you have severe asthma or significant lung disease.

Severe heart disease (Aortic Stenosis)

You must inform your doctor if you have narrowing of the aortic heart valve, as amlodipine can cause a dangerous drop in blood pressure in patients with this condition.

Grapefruit and grapefruit juice

Grapefruit can increase the amount of amlodipine in your body, which may cause your blood pressure to drop too low and increase the risk of side effects like headaches or swelling. While the effect is usually small, it is best to avoid large amounts of grapefruit juice while taking this medicine.

Alkohol

You must avoid drinking alcohol while taking tramadol. Alcohol increases the sedative effects of the medicine, which can lead to dangerous levels of drowsiness, breathing difficulties, and a risk of unconsciousness.

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Taking multiple medicines? Our Interaktionskontroll för läkemedel helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Ansvarsfriskrivning

Denna information är endast avsedd för allmän utbildning och bör inte användas som en ersättning för professionell medicinsk rådgivning. Rådfråga alltid din läkare, apotekare eller annan kvalificerad vårdpersonal innan du fattar beslut om dina mediciner. Individuella omständigheter kan variera, och endast en vårdpersonal som känner till din medicinska historia kan ge personlig vägledning.

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Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • 25 jan 2026 | Ursprungligen publicerad
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