Acetazolamide, furosemide, and spironolactone are also used by some. Combining these with sodium restriction has slowed progression of hearing loss. 13 A recent Cochrane review regarding diuretics in M ni re s disease noted that no articles supporting diuretic use that meet accepted review standards are presently available in the literature. 19 spironolactone and prednisone is worth trying initially, and a thiazide or mercurial diuretic can be added later when the concentration of sodium in the. kaitlib fe coupon<\/a> Spironolactone versus placebo or in combination with steroids for hirsutism and\/or acne. Cochrane Database Syst Rev, (2024), pp. CD. [36]. D.M SPIRONOLACTONE (speer on oh LAK tone) treats high blood pressure and heart failure. It may also be used to reduce swelling related to heart, kidney, or liver<\/p>\n The combination can cause significant side effects such as anxiety, confusion and hallucinations. Taking tramadol with other painkillers. It’s safe to take Tramadol ER use may be limited by its potential to increase risk of seizures (Ultram PI 2024). Seizures have been reported in patients taking tramadol within the recommended dose range (Ultram PI 2024). Tramadol increased the risk for seizure in patients taking serotonin reuptake inhibitors, tricyclic antidepressants, and opioids (Ultram PI 2024). Applies to: Flexeril (cyclobenzaprine) and acetaminophen \/ tramadol Using narcotic pain or cough medications together with other medications that also cause central nervous system depression can lead to serious side effects including respiratory distress, coma, and even death. uro mp reviews<\/a> Find patient medical information for Conzip (tramadol) on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings Monitor for respiratory depression, especially during initiation of traMADol hydrochloride or following a dose increase. Instruct patients to swallow traMADol hydrochloride extended release formulations intact, and not to cut, break, chew, crush, or dissolve the tablets to avoid exposure to a potentially fatal dose of traMADol. Accidental Ingestion <\/p>\n Tramadol provides similar pain relief and a better side effect profile than oxycodone (or hydrocodone) alone or in combination with tramadol after anterior cruciate ligament reconstruction or Tramadol use should be avoided in children 12 to 18 years of age who have other risk factors that may increase their risk of slowed or stopped breathing with tramadol. Risk factors may include: risk of slowed breathing after surgery, obstructive sleep apnea, obesity, severe lung disease, nerve \/ muscle disease, and use of other medications<\/p>\n