best bet is ask the clinic but I can almost assure you there going to say no to tram
because it works on the opiate receptor methadone fills them and I dont see any benefit
but always ask....I have been wrong b/4............Gnarly
You need to ask your doctor.
Why would you want to? They are both pain relievers with Methadone being stronger. I wouldn't mix them...You can ask at the clinic,also.