Sunday, 9 September 2018

Tramadol Addiction


By Iram Sharif 
                                                           Tramadol Addiction

         Drug addiction has taken many forms, administration ways, and for many reasons. At present time, each day reports a newer type of addiction that a person can never imagine. Among one of these is Tramadol dependence.  Tramadol is a synthetic (man-made) pain reliever (analgesic). The exact mechanism of action of Tramadol is not known but it is similar to morphine. It binds to opioid receptors in the brain that are important for transmitting the sensation of pain from throughout the body to the brain. It is often prescribed as an alternative to opioids due to its negligible abuse potential. With first appearance of this medication, the potential for the abuse of Tramadol remained low but with passage of time, its usage as addiction has been increased.  
Legal prescription
·         Pain reliever (moderate to severe pain)
·         Prescribed as an alternative to opioids due to its negligible abuse potential.
·         Not prescribed for children (up to 12 years of age)
·         If prescribed for adolescents (12 to 18 years) must consider their health conditions (over-weight, breathing problems, severe lung diseases will not receive Tramadol)
Addicted signs & symptoms
Restlessness, excessive tear production, yawning, sweating, chills, muscle pain, anxiety, backache, joint pain, weakness, abdominal cramps, insomnia, nausea, weight loss, vomiting, diarrhea, increased blood pressure, changes in respiratory rate & heart rate, rigors, piloerections, Upper respiratory symptoms, Rarely hallucinations,
Complications if overdose
respiratory depression, sleepiness progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, seizures, slow heart rate, low blood pressure (hypotension), cardiac arrest, and death. Deaths due to overdose have been reported with abuse and misuse of Tramadol.
Treatment
·         Inpatient
·         Detoxification (usually 28 to 30 days)
·         Medications (mostly buprenorphine/naloxone)
·         Psychotherapy (at individual, directive and family levels)
Follow ups to maintain long lasting sobriety 

Neurodevelopmental disorders training for professionals/parents

Duration of completion: It is a 7 week training program (3 days in a week) Professional’ days: 2 in week Parents’ days: will atten...