Thanks for writing to HCM.
which is an opioid partial agonist/antagonist which binds to the μ (mu) and κ (kappa) receptors of the brain. It is used to prevent opioid dependence.Tramadol
when used for short term will not cause dependence hence you not to take along with tramadol.
Suboxone is not a pain killer hence there is no use of it if used alone.
For your pain relief you can take tramadol along with paracetamol
.It will give better relief from pain.
To minimize side effects of tramadol,you can take the tablet half hour before food.Domperidone
can be used for nausea caused by tramadol.
Hope this helps.
Wish you good health.