Administration of CYP3A4 inhibitors, like ketoconazole and erythromycin, or inducers, like rifampin and St. John's Wort, with tramadol hydrochloride tablet could have an effect on the metabolism of tramadol leading to altered tramadol publicity.Should you’re using the fast-launch tablets, maybe you have to have a dose every four to 6 hours. Shoul