I couldn't tell you with any certainty, honestly, and wouldn't want to give wrong advice. When I was 18 one night I took 2 pills someone gave me, but didn't know what they were at the time. I took both, then cracked open a beer as I did every night, threw in an 8 min pizza in the oven, finished the beer quick, and opened another.. 2 days later I woke up paint peeling around the oven door, the 8 min pizza was half its original size, burnt black! Turned out what I took was Xanax, and mixed with alcohol, it put me under for 2 days! Not sure how many mg they were or anything, it was so long ago, but xanax plus alcohol very often does the trick! That plus tramadol, I imagine would be a pretty bad (or good) combo...