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Hazards of Concomitant Use or Discontinuation of Cytochrome P450 2D6 Inhibitors The concomitant use of tramadol hydrochloride tablets with all cytochrome P450 2D6 inhibitors (e.g., amiodarone, quinidine) may end in a rise in tramadol plasma stages along with a lower inside the amounts of the Energetic metabolite, M1.Si se choose prescribir Tramadol