I've just had a surgical tooth extraction. The pain is horrendous and nothing has helped so far. I've got some tramadol but it says not to drink alcohol with them or it could cause me to stop breathing. This seems bit dramatic to me, and almost every drug now says avoid alcohol so I've become used to ignoring it (apart from metronidazole). Does anyone know if this combination would be as lethal as they say? Or are the manufacturers just covering their backs legally?