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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Is It Safe To Take Tramadol Along With Keppra?

my mother is taking Keppra for seizures. Her PCP prescribed Tramadol for her arthritic knee pain. She said it was a tine bit safer than Vicodin. We quit giving her the Tramadol because of the literature from the company about the interactions. My father was afraid to continue the medication. She needs a knee replacement but because of health issues will not withstand surgery. Is it safe to take the Tramadol?
Mon, 24 Feb 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I agree with you that tramadol is not safe for a patient with seizure disorder. This is because tramadol increases the risk of seizures.

So, at this stage, other pain medications such as diclofenac, ibuprofen or naproxen should be used.

However, if the above medicines do not relieve her pain, and she has been seizure-free for long, then, tramadol may be used.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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Is It Safe To Take Tramadol Along With Keppra?

Hi, Thank you for posting your query. I agree with you that tramadol is not safe for a patient with seizure disorder. This is because tramadol increases the risk of seizures. So, at this stage, other pain medications such as diclofenac, ibuprofen or naproxen should be used. However, if the above medicines do not relieve her pain, and she has been seizure-free for long, then, tramadol may be used. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/