트라마돌 의존 보고 1례

A Case of Tramadol Dependence

Tramadol is a centrally acting analgesic with dual opioid and nonopioid mechanisms. A low risk of respiratory or central nervous side effects make tramadol an interesting drug for the management of acute and chronic pain. For chronic pain syndromes tramadol has been demonstrated to use safely with only minimal risk of abuse or addiction. I experienced one case of tramadol addiction in 35-year-old male patient with traffic accident. This case revealed mild withdrawal reactions after chronic tramadol administration, and the absolute neutrophilia was a new hematologic finding during withdrawal phase. Therefore, we should be cautious in the prescription of all drugs including analgesics and develop the more effective prevention strategies for the drug abuse and dependence.