Before using codeine and traMADol together. Using these medications together can increase your risk of seizures, breathing problems, and other side effects. If your doctor prescribes these medications together, you may need a dose adjustment or special tests to safely take both medications. Tell your doctor if you have weak or shallow breathing, tremors, restlessness, seizures, or problems. I would personally stick with the codeine but stop it altogether as soon as you can. 60mg is still a low dose and if works then good. I am the same with tramadol. Each tablet contains 30mg Codeine phosphate hemihydrate. Each tablet contains 16.00mg lactose BP. For the full list of excipients, see section 6.1. Yes, these 3 meds you mentioned can be taken together and not uncommonly they are prescribed together by doctors to someone who has severe painful conditions like severe back pain etc. In general the highest dose on Ibuprofen one may try is about 3200 mg/day, on paracetamol it is around 4000 mg/day and with codeine it is around 360 mg/day. rheumatoid arthritis, anxiety, pain, restless legs syndrome, back pain, fibromyalgia, codeine, tramadol Details: I am such a sissy with pain meds but I've got spinal arthritis and fibro along with restless leg syndrome. Neither tramadol nor codeine should be taken with alcohol or other sedatives or tranquilizers because they may potentially magnify the effects. Particularly dangerous is the potential for respiratory depression , which can make you stop breathing if you take too much of either codeine or tramadol, or mix either of them with the wrong medication. It's perfectly safe to take tramadol and codeine - this mix is the only thing that really helps me. It's safe because the tramadol belongs to the opioid group of drugs whereas codeine isn't xxxx It's safe because the tramadol belongs to the opioid group of drugs whereas codeine isn't xxxx Codeine is an opioid medicine (sometimes called an opiate). It is used to treat mild-to-moderate types of pain. It can be particularly useful when painkillers such as paracetamol and ibuprofen have not been effective. In Costa Rica, you can only bring enough meds for the length of your stay complete with a doctor’s note. In Indonesia, codeine is also illegal, as is ADHD medication and some sleeping pills.