Iatrogenic skin popper: tramadol dependence in a patient with no previous substance history

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dc.contributor.authorAggarwal, Sen_US
dc.contributor.authorKumar, Ken_US
dc.contributor.authorKumar, Aen_US
dc.contributor.authorSharma, Sen_US
dc.contributor.authorNayar, Nen_US
dc.contributor.authorUpadhyay, K.en_US
dc.date.accessioned2023-07-14T07:00:43Z
dc.date.available2023-07-14T07:00:43Z
dc.date.issued2021-12
dc.description.abstractTramadol, a synthetic codeine analogue having a weak ? receptor agonist action has been widely used for relief of mild to moderate pain. Most commonly, tramadol addiction or abuse is reported among doctors or people with previous history of drug abuse. However, rare cases of tramadol dependence have been described in patients without prior substance abuse history. We are describing one such case of a 35-year-old male who presented with history of using injection tramadol regularly for three years where there was no prior history of drug abuse but who was prescribed tramadol for medical reason. The frequency of one ampule of tramadol increased from once in two to three days to almost daily up to 12-14 ampules/day. The management was a serious challenge. We admitted the patient for inpatient detoxification. He required tramadol injections to manage his withdrawal symptoms, along with lorazepam and clonidine which were gradually tapered over a period of 14 days. This case highlights that tramadol dependence though very rare but still can happen in a patient without substance abuse history. Also, the physician should be aware of the abuse potential of tramadol and should keep in mind short and judicious prescription, and educating the person regarding the risk of abuse can help to minimise this debilitating and sometimes fatal addiction.en_US
dc.identifier.affiliationsDepartment of Psychiatry, School of Medical Sciences and Research (SMS&R), Sharda University, Greater Noida, Uttar Pradesh, Indiaen_US
dc.identifier.citationAggarwal S, Kumar K, Kumar A, Sharma S, Nayar N, Upadhyay K.. Iatrogenic skin popper: tramadol dependence in a patient with no previous substance history. Open Journal of Psychiatry & Allied Sciences. 2021 Dec; 12(2): 140-141en_US
dc.identifier.issn2394-2061
dc.identifier.issn2394-2053
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/218390
dc.languageenen_US
dc.publisherAcademy Publisheren_US
dc.relation.issuenumber2en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.5958/2394-2061.2021.00022.7en_US
dc.subjectSubstance Abuseen_US
dc.subjectOpioiden_US
dc.subjectChronic Pain.en_US
dc.titleIatrogenic skin popper: tramadol dependence in a patient with no previous substance historyen_US
dc.typeJournal Articleen_US
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Open Journal of Psychiatry & Allied Sciences, Formerly DYSPHRENIA