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What are the methods to overcome drug interaction?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

This morning at 10 AM, I took 25 mg of extended-release Adderall and 10 mg of immediate-release Adderall. At 6:30 PM, I took 200 mg of Tramadol. I checked them up online and saw they had significant interaction, but I am not sure about the date or doses I took. I am quite worried and want help.

Kindly help.

Hello,

Welcome to icliniq.com.

Adderall is a drug that includes amphetamine and dextroamphetamine. They primarily excite neurons in the brain, causing alertness. The rapid-release pill has a five-hour duration of action. The prolonged-release can work for up to 12 hours. Tramadol, on the other hand, activates the neuron by boosting neurotransmitters in the cell. The activity lasts around five hours. When we administer both together within five to six hours of each other (in the case of an immediate-release pill), the possibilities of synergistic neural activation increase. Because you are taking an extended-release pill, there is a chance of synergistic stimulating activity regardless of the time interval between two doses. The synergistic stimulation causes mild to severe adverse effects like loss of sleep, anxiety, tremor, agitation, lack of appetite, mental disorientation, psychological dependency, delirium, hallucination, palpitation, cardiac arrhythmia, vomiting, and stomach pain are some of the symptoms. It can cause vascular collapse, convulsions, coma, and death in some cases. Here only two positive outcomes are possible: improved attention or concentration on work and pain reduction. Taking these two medicines together, in my view, is not a smart idea. If at all possible, discontinue the extended-release Adderall medication. Also, allow six hours between taking Adderall (instant release) and Tramadol pills. I suppose, if you take Adderall (instant release) at 7 AM, you may take Tramadol at 1 PM. Then, at 7 PM, the second dose of Adderall (instant release) might be taken. However, there is no assurance that you will never have any negative effects. There is still a tiny probability of some of the negative effects described above.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At October 24, 2023
Reviewed AtOctober 24, 2023

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