Drug & supplement interaction

Benfotiamine + Tramadol

Tramadol brand names: Ultram, Zytram XL, Qdolo.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Benfotiamine and Tramadol in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Benfotiamine and Tramadol

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Tramadol and Benfotiamine in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Benfotiamine at all — not against Tramadol, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Benfotiamine safety at a glance

Benfotiamine overall Use caution Generally well tolerated in studies, but long-term safety is not fully known.
Pregnancy Use caution Not enough safety information exists, so avoid unless your doctor advises otherwise.
Breastfeeding Use caution Safety while breastfeeding has not been well studied, so caution is advised.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Tramadol and Benfotiamine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Benfotiamine Itself Has Been Linked To

This is not an interaction — nothing below involves Tramadol. It is the side-effect record for Benfotiamine on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Benfotiamine, this list is the first place to look.

  • Stomach upset Additional detail

    “Orally, slight gastrointestinal discomfort has been reported in six out of 98 patients taking benfotiamine 300-600 mg daily for 6 weeks in one clinical study. The rate of adverse events was not different between treatment and placebo groups.”

    Benfotiamine · Natural Medicines adverse-effect record, reported in myasthenia gravis.

    1 source cited
    1. 98032. Stracke H, Gaus W, Achenbach U, Federlin K, Bretzel RG. Benfotiamine in diabetic polyneuropathy (BENDIP): results of a randomised, double blind, placebo-controlled clinical study. Exp Clin Endocrinol Diabetes 2008;116(10):600-5. PubMed

Everything above comes from the Natural Medicines adverse-effect record for Benfotiamine — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Tramadol’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Tramadol column appears here.

From our Q&A

Questions About Benfotiamine or Tramadol

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Benfotiamine or Tramadol, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Tramadol

This page covers Benfotiamine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tramadol page lists 223 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Grapefruit (major).

By severity: 10 major · 174 moderate · 39 minor.

From our pharmacist’s overview on the Tramadol page

“Tramadol (Ultram, Qdolo) is an opioid, and its supplement interactions worry me more than most because the worst of them compound the drug's most dangerous effects. Alcohol and dozens of calming herbs deepen its sedation, sometimes to the point of slowed breathing.”

Reviewed by 2 · Jul 18, 2026

Open the Tramadol interaction page

One more smart check

Taking Benfotiamine as Part of a Dietary Supplement Product? Check It for Interactions

We hold 358 real supplement products containing Benfotiamine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Benfotiamine. Even though Benfotiamine itself has no known interaction with Tramadol, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Benfotiamine and Tramadol Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Benfotiamine
Top half

#424 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Tramadol
Top half

#1,397 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Benfotiamine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Benfotiamine and Tramadol records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Benfotiamine

What is Benfotiamine?

Benfotiamine
  • Diabetic nerve pain (neuropathy)
  • Supporting healthy nerve function
  • Thiamine deficiency
  • Oxidative stress
  • General wellness

Benfotiamine is a man-made, fat-soluble form of vitamin B1 (thiamine) that the body may absorb more easily than regular thiamine. It is mostly studied for diabetic nerve problems, but the evidence is mixed and limited, so it should not replace prescribed treatments. Talk with your pharmacist or doctor before starting it.

Synthetic compound (a derivative of vitamin B1) · Tablets, capsules

An interaction check asks whether these two react with each other — it does not ask whether Benfotiamine is a good idea for someone in your situation. Here is what our Benfotiamine record says about it on its own.

Benfotiamine: dosing

There is no official standardized dose of benfotiamine for any condition. Do not assume that taking more will work better, and avoid using it to self-treat a serious condition without medical guidance.

From our Benfotiamine monograph — the full record covers uses, side effects and every documented interaction.

Read the full Benfotiamine monograph & all interactions
Medication

About Tramadol

What Is Tramadol Used For?

Brand names: Ultram, Zytram XL, Qdolo

Tramadol is used in adults for pain that is severe enough to need an opioid-strength medication and where non-opioid treatments haven't been enough. It's typically reserved for situations where milder options have failed or aren't expected to work.

It is not meant for everyday or long-term use unless the pain remains severe and alternatives continue to fall short. Prescribers carefully weigh the benefits against the real risks before starting tramadol.

See full Tramadol drug information
Keep checking

Other Drugs & Benfotiamine

Browse every other medication we’ve checked against Benfotiamine — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Benfotiamine against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Benfotiamine list.

See the full Benfotiamine interactions page
See every supplement checked against Tramadol, ranked by severity
Evidence & sources

Benfotiamine References

The 1 references that drive our Benfotiamine monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Stracke H, Gaus W, Achenbach U, Federlin K, Bretzel RG. Benfotiamine in diabetic polyneuropathy (BENDIP): results of a randomised, double blind, placebo-controlled clinical study. Exp Clin Endocrinol Diabetes 2008;116(10):600-5. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Benfotiamine and Tramadol Together: Common Questions

Is it safe to take Benfotiamine with Tramadol?
We do not list a known interaction between Benfotiamine and Tramadol. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Tramadol interact with any supplements?
Yes. Tramadol has documented interactions with 223 supplements in our database — Benfotiamine is not one of them. The Tramadol interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Benfotiamine monograph Uses, safety profile, and every drug interaction in one place Tramadol drug information The full plain-English guide to this medication Tramadol supplement interactions Every supplement checked against Tramadol, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Tramadol and Benfotiamine?

Our pharmacists answer your medication & supplement questions — free.

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.