I hope you are doing better this morning. I'm sure you slept last night with that combination.

My suggestion is the next time you have a medication question such as this one, call a pharmacy. They will be able to help you out and advise you. My pharmacist is part of my medical team and I don't hesitate to call if I have a question about my medications or if I have accidentally double dosed on a med, which I have done before.

Also in addition to the physical dangers of taking too much medication please be wary over-using pain medications if you want to continue receiving them from your physician.

With many of these pain medications if you start taking more you will continue to need more to treat your pain. Tramadol although not considered an opiate works on the same receptors and can be addictive.

Physicians, with good reason, can refuse to continue treating a patient who is not taking their medications as prescribed and its not difficult to figure out.