Article
Near-fatal tramadol cardiotoxicity in a CYP2D6 ultrarapid metabolizer.
European journal of clinical pharmacology - 1 Aug 2011
Elkalioubie Ahmed, Allorge Delphine, Robriquet Laurent, Wiart Jean-François, Garat Anne, Broly Franck, Fourrier François
Abstract excerpt
BACKGROUND: Tramadol is a synthetic, centrally acting analgesic for the treatment of moderate to severe pain. The marketed tramadol is a racemic mixture containing 50% (+)tramadol and 50% (-)tramadol and is mainly metabolized to O-desmethyltramadol (M1) by the cytochrome P450 CYP2D6. Tramadol is generally considered to be devoid of any serious adverse effects of traditional opioid receptor agonists, such as...
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