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N/A
The interaction between these two agents has not been formally studied. Based on the metabolic pathways of these agents, a drug interaction is not expected.
No formal study has reviewed the drug interaction between these agents. Tramadol is extensivelymetabolized in the liver by O - and N-demethylation and by conjugation reactions to form glucuronides and sulfates. . Integrase inhibitors are primarily metabolized via UGT enzymes.
Based upon the metabolic pathways of these agents, a drug interaction is not expected.
Bruce RD, Altice FL, Gourevitch MN, Friedland GH. Pharmacokinetic drug interactions between opioid agonist therapy and antiretroviral medications: implications and management for clinical practice. Jaids Journal Of Acquired Immune Deficiency Syndromes. 2006; 5: 563-572.