Article
Respiratory depression with tramadol in a patient with renal impairment and CYP2D6 gene duplication.
Anesthesia and analgesia - 1 Sept 2008
Stamer Ulrike M, Stüber Frank, Muders Thomas, Musshoff Frank
Abstract excerpt
We observed opioid-related respiratory depression in a patient receiving tramadol via patient-controlled analgesia. Predisposing factors were the patient's genetic background and renal impairment. Complete recovery occurred after naloxone administration, thus confirming opioid intoxication. Analysis of the patient's genotype revealed a CYP2D6 gene duplication resulting in ultra-rapid metabolism of tramadol to its...
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