Tramadol poisoning and its management and complications : a scoping review

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc..

Tramadol (TR) is an opioid agonist (μ-opioid receptors) that also affects the noradrenergic and serotonergic systems. TR is a synthetic analgesic substance with opioid agonist properties that has been approved for pain management by affecting the central nervous system.

Objective: The primary objective of this scoping review was to determine the poisoning consequences of TR and its associated symptom management techniques, as well as its effect on opioid and non-opioid receptors, metabolism, and complications on various organ systems.

Discussion: Typically, acute overdose of TR is not considered life threatening, and most fatalities are attributed to polysubstance overdose. TR can cause drowsiness, headaches, seizures, respiratory depression, low heart rate, coma, and even death. Additionally, the prolonged use of TR can lead to addiction, with withdrawal resulting in both common and atypical symptoms.

Conclusions: Therefore, it is recommended that patients with TR poisoning receive close monitoring of their cardiovascular system, along with a comprehensive management plan for their levels of consciousness and respiratory function.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:85

Enthalten in:

Annals of medicine and surgery (2012) - 85(2023), 8 vom: 03. Aug., Seite 3982-3989

Sprache:

Englisch

Beteiligte Personen:

Manouchehri, Aliasghar [VerfasserIn]
Nekoukar, Zahra [VerfasserIn]
Malakian, Abdollah [VerfasserIn]
Zakariaei, Zakaria [VerfasserIn]

Links:

Volltext

Themen:

Complications
Journal Article
Opioid
Poisoning
Tramadol

Anmerkungen:

Date Revised 10.08.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1097/MS9.0000000000001075

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360544835