There is some evidence which suggests that the use of Irish stick weapons may have evolved in a progression from a reliance on long spears and wattles, to shorter spears and wattles, to the shillelagh, alpeen, blackthorn (walking-stick) and short cudgel.
Moreover, most of the associated drugs fatalities including tramadol have been reported with other central nervous system (CNS) depressants, particularly benzodiazepine [9], [10], [11], [13] and [14]. In certain cases, benzodiazepine levels were in the therapeutic range or slightly higher.
Tramadol hydrochloride is an opioid and is closely related to morphine. It is actually synthetic form of morphine. Since paracetamol is present in its composition you should not take when drinking alcohol or if you have any liver or kidney problems.