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If the same physican prescribed it for you that prescribed the tramadol and the pharmacist at the pharmacy (that you always go to) did not make a comment, I would follow my physician's orders and take the medication.
However if you are concerned it never hurts to pick up the phone and ask the pharmacist. At one time my PCP prescribed both for me. If we read all the warnings on the medications that we take (and I suggest that you do) it would scare all of us.
If the same physican prescribed it for you that prescribed the tramadol and the pharmacist at the pharmacy (that you always go to) did not make a comment, I would follow my physician's orders and take the medication.
However if you are concerned it never hurts to pick up the phone and ask the pharmacist. At one time my PCP prescribed both for me. If we read all the warnings on the medications that we take (and I suggest that you do) it would scare all of us.
Hope this helps,
Tuck