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Challenges of Concomitant Use or Discontinuation of Cytochrome P450 2D6 Inhibitors The concomitant usage of tramadol hydrochloride tablets with all cytochrome P450 2D6 inhibitors (e.g., amiodarone, quinidine) may perhaps bring about a rise in tramadol plasma amounts in addition to a minimize within the amounts of the Energetic metabolite, M1.Tramad