All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcoholmoderate
Description - Using this medicine with alcohol may increase the nervous system side effects like dizziness, difficulty in concentrating etc.
Instructions - Avoid or limit the use of alcohol while you are taking this medicine. Any activity requiring a high level of mental alertness like operating heavy machinery or driving should be avoided.
Interaction with Medicine
Tramadol should be given with caution if you are suffering from impaired liver function especially where the disease is in advanced stages. Suitable dose adjustment should be done based on the extent of impairment.
Tramadol should be given with caution if you are suffering from kidney impairment. Suitable adjustments in dose and time duration between two doses might be required based on the extent of impairment.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.