Article
Trends in Tramadol: Pharmacology, Metabolism, and Misuse.
Anesthesia and analgesia - 1 Jan 2017
Miotto Karen, Cho Arthur K, Khalil Mohamed A, Blanco Kirsten, Sasaki Jun D, Rawson Richard
Abstract excerpt
Tramadol is a unique analgesic medication, available in variety of formulations, with both monoaminergic reuptake inhibitory and opioid receptor agonist activity increasingly prescribed worldwide as an alternative for high-affinity opioid medication in the treatment of acute and chronic pain. It is a prodrug that is metabolized by cytochrome P450 (CYP) enzymes CYP2D6 and CYP3A4 to its more potent opioid analgesic...
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