Tramadol Abuse: A Case Report
It is important for physicians to know that, due to the mixed receptor activity of tramadol, patients may just present with symptoms of serotonin-norepinephrine toxicity rather than the classical opioid overuse symptoms. Although naloxone is a recognized opioid antagonist and may be useful in acute toxicity, the mainstay for management of tramadol abuse remains supportive therapy.
Clinicians should look out for people at risk of tramadol toxicity before prescribing while at the same time, advocating for continuous awareness programmes. Moreover, institutions should put in place procedures to detect students who are potential drug abusers or currently on drugs and there is the need to establish rehabilitation centers to properly manage those already dependent.