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Dont know how to edit pages properly so i would greatly appreciate if someone could change the interaction with alcohol to dangerous. For some reason its just a caution on this page which can be very dangerous misinformation. Also tramadol is listed as a dangerous interaction on alcohols page.

From utaninja: is anyone able to find a clear source for "Tramadol is metabolised to O-Desmethyltramadol (O-DSMT), a significantly more potent opioid."