text: can you take tramadol with trazodone and rozerem? i need trazodone and rozerem to sleep at night, like i should be doing now, but i also have a bad back where i occasionally need tramadol, can i safely take tramadol with these products i take for sleep? if the same doctor prescribed the medications, it is probably okay but always ask if you arent sure.    if it was two different doctors, and i am assuming it was since two are psychiatric medications and the other is general - you better ask first because the one who prescribed the tramadol may not be aware of the other medications you are on.    always update doctors on what medications you are taking.