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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Ultram Be Taken With Nucynta For Chronic Pain?

I take nucynta CR since yesterday(100mgs) for chronic pain. Before,I had ralivia 100mgs bid and ultram every 4 or 6 hers prn. I want to know if I can take ultram again 1or 2 times a day with my new pills.My doctor stopped ralivia but let me ultram.Your advice please?
posted on Sat, 8 Mar 2014
Twitter Mon, 31 Mar 2014 Answered on
Twitter Tue, 1 Apr 2014 Last reviewed on
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General & Family Physician 's  Response
Hi,

Nucynta CR contains tapendadol, an opioid analgesic.

Both, ralivia and ultram contain tramadol, another opioid analgesic of the same group of tapendadol.

Perhaps your doctor would have preferred to have a more potent effect of these opioid analgesic as he/she has prescribed them both. To my opinion, if I was your caring doctor, would re-vise your current treatment and set another potent analgesic instead of taking ultram with ralivia.

Hope it was of help!
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Can Ultram Be Taken With Nucynta For Chronic Pain?

Hi, Nucynta CR contains tapendadol, an opioid analgesic. Both, ralivia and ultram contain tramadol, another opioid analgesic of the same group of tapendadol. Perhaps your doctor would have preferred to have a more potent effect of these opioid analgesic as he/she has prescribed them both. To my opinion, if I was your caring doctor, would re-vise your current treatment and set another potent analgesic instead of taking ultram with ralivia. Hope it was of help!