Dangers of mixing Tramadol and Alcohol

What is Tramadol and how does it work?

Tramadol is a prescription medication used to treat moderate to severe pain, working as an opioid analgesic. It binds to the brain’s opioid receptors, which are part of the nervous system’s pain pathway and increases levels of serotonin and norepinephrine, two neurotransmitters involved in mood and pain perception. By doing this, Tramadol not only helps reduce pain but can also improve the overall feeling of well-being.

It’s typically prescribed for chronic conditions like arthritis or post-surgery pain. However, Tramadol can be habit-forming, so it’s important to use it exactly as prescribed and discuss any concerns with a healthcare professional.


Tramadol Tablet packet

Why do people mix Tramadol with alcohol?

Mixing Tramadol with alcohol can be extremely dangerous, and it’s important to understand why people might do it. Here are a few reasons, explained with care and examples:

Enhanced effects

Some individuals might seek to amplify the effects of Tramadol and alcohol. For instance, if someone is feeling particularly stressed, they might take Tramadol for pain relief and drink alcohol to relax, hoping for a stronger sense of euphoria. Unfortunately, this combination can be very harmful.

Pain management

Consider someone dealing with chronic pain. They might take Tramadol as prescribed but find it doesn’t fully alleviate their discomfort. In an attempt to manage their pain better, they might drink alcohol to help them sleep or feel more at ease. While this might seem like a solution, it can lead to dangerous side effects.

Mental health issues

People dealing with anxiety or depression might turn to both substances as a form of self-medication. For example, someone going through a tough time might take Tramadol for physical pain and drink alcohol to numb emotional pain. While they might feel temporary relief, this can actually worsen their mental and physical health.

Addiction and substance abuse

For those struggling with addiction, using multiple substances can become a way to achieve a stronger high. For example, if someone has developed a tolerance to Tramadol, they might add alcohol to feel its effects again, not realising how dangerous this combination can be.

Lack of awareness

Sometimes, people might not fully understand the risks of mixing Tramadol and alcohol. They might think that because both are legal substances, using them together isn’t harmful. For example, someone might take Tramadol for a back injury and have a few drinks at a social event, unaware of the potential for severe side effects.

The risks of mixing Tramadol with alcohol

Mixing Tramadol with alcohol is a hazardous combination that can have alarming consequences. Whether it’s a one-time occurrence or a habitual practice, the dangers are significant and far-reaching. Understanding these risks is crucial to safeguarding your health and well-being.

Short term risks

Combining Tramadol and alcohol can lead to severe respiratory depression, which may slow or even stop your breathing. This dangerous mix also heightens the risk of dizziness, severe drowsiness and loss of coordination, increasing the likelihood of accidents and falls.

Nausea and vomiting are common, and in severe cases, this combination can lead to a loss of consciousness or coma, which can be life-threatening.

Additionally, both substances can amplify each other’s effects, leading to intensified sedation and impaired judgement.

Long term risks

Over time, the risks become even more concerning. Regularly mixing Tramadol and alcohol can cause lasting damage to vital organs, including the liver and kidneys. The liver metabolises both substances and can become overwhelmed, leading to liver damage or failure.

Long-term use can also result in persistent cognitive impairment, impacting memory, concentration and overall brain function.

Dependence and addiction to both substances are significant risks, complicating treatment and recovery.

Moreover, the combination increases the likelihood of developing chronic health issues such as cardiovascular problems and severe gastrointestinal damage.

What should I do if I have already mixed Tramadol with alcohol?

If you’ve mixed Tramadol with alcohol and are feeling worried or unwell, it’s important to stay calm and follow these steps to ensure your safety:

  • Stop consuming alcohol and Tramadol: Immediately stop taking any more Tramadol or alcohol to prevent further interaction between the substances.
  • Stay in a safe place: Find a quiet, comfortable place to sit or lie down. Ensure you’re in an environment where someone can easily check on you.
  • Drink water: Hydrate yourself with water to help your body process the substances more efficiently. Avoid caffeinated or sugary drinks.
  • Avoid being alone: If possible, let someone you trust know what you’ve taken and how you’re feeling. They can help keep an eye on you and contact emergency services if needed.
  • Call emergency services if necessary: If you experience any symptoms of an overdose or if something doesn’t feel right, don’t hesitate to call emergency services immediately. It’s better to be safe and get professional help. If you’re unsure of the signs of a Tramadol or alcohol overdose, make sure to read the next section.

Tramadol/alcohol overdose symptoms

It’s crucial to be aware of the signs of Tramadol and alcohol overdose. Seek immediate medical attention if you experience any of the following symptoms:

  • Severe drowsiness or difficulty staying awake
  • Difficulty breathing or shortness of breath
  • Slow or irregular heartbeat
  • Extreme confusion or disorientation
  • Seizures or convulsions
  • Loss of consciousness or inability to wake up
  • Nausea and vomiting
  • Blue lips or fingertips

Your health and safety are the most important things right now. Don’t hesitate to reach out for help if you need it. Emergency services are there to assist you and ensure you get the care you need.

Woman with glass of brandy in hand.

I’m mixing Tramadol and alcohol too often- Am I addicted?

Addiction often creeps up on us, revealing itself only when things have already reached a dangerous point. If you’re worried about your use of Tramadol and alcohol and where it might be leading you, take a moment to reflect on your situation with these questions:

  1. Do you find yourself needing more Tramadol or alcohol to get the same relief or ‘buzz’?
  2. Do you feel unwell or anxious when you try to stop using Tramadol or drinking alcohol?
  3. Is a lot of your time spent thinking about when you can next take Tramadol or have a drink?
  4. Are your responsibilities at work, school or home being neglected because of your Tramadol or alcohol use?
  5. Do you continue using Tramadol or drinking alcohol even though it’s causing issues in your relationships or health?
  6. Do you feel like you can’t control or reduce your use of Tramadol or alcohol, even though you want to?

If you find yourself answering ‘yes’ to any of these questions, it might be a sign that you’re struggling with addiction. Remember, it’s never too early or too late to seek help and talking to professionals can be a crucial step towards regaining control and finding support.

How can Oasis Bradford help with Tramadol and alcohol addiction?

Whatever led you to take Tramadol and alcohol together frequently, know that there are different ways to get support. One of the most effective options is through a drug addiction rehab programme, like the one offered at Oasis Bradford.

At Oasis Bradford, we help you find a path to recovery with personalised care and a range of therapies, including sound therapy. Our compassionate team is here to guide you through detox, therapy and aftercare, ensuring you have the tools and support you need to reclaim your health and well-being.

You’re not alone and taking this step can make all the difference. Get in touch with us today for more information.