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Pitfalls of Concomitant Use or Discontinuation of Cytochrome P450 2D6 Inhibitors The concomitant use of tramadol hydrochloride tablets with all cytochrome P450 2D6 inhibitors (e.g., amiodarone, quinidine) may well result in a rise in tramadol plasma amounts as well as a minimize in the amounts of the active metabolite, M1.Tramadol also enables the