“…It has been established that the interaction of dipyrone or tramadol combinations with other drugs produced, in most instances, a synergistic interaction. Synergistic effects have been established between tramadol and several drug classes including acetaminophen [Fricke et al, 2004;Filitz et al, 2000], dexamethasone [Dü rsteler et al, 2007], gabapentin [Granados-Soto and Argü elles, 2005], ketorolac [Ló pez-Muñ oz et al, 2004], naproxen [Satvanaravana et al, 2004], ketamine [Chen et al, 2002], and venlafaxine [Uvar et al, 2003]. However, no synergistic interaction was observed when tramadol was combined with rofecoxib [Satvanaravana et al, 2004].…”