alcohol/antidepressants/sleeping pills/benzodia-zepines "taken as prescribed, tramadol is a highly effective drug — the problems seem to arise where the dosage is exceeded or it is taken with alcohol and/or other drugs that have a sedative effect"
-http://www.dailymail.co.uk/health/article-2305936/Tramadol-When-safe-option-painkiller-turnslethal.
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10 capsules (500mg of tramadol) may be enough to kill even an obese person, as the link above shows (although her heart-disease may have added to the effect). you'd probably want to increase the chance for respiratory cessation, you can mix it with the 4 substances mentioned above, or with other non-opioid painkillers. "John wants other people to know of the dangers of tramadol"
excellent. thank you John.
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