Article
Massive tramadol ingestion resulting in fatal brain injury - a pharmacokinetic study with discussion on the involved mechanisms of toxicity.
Clinical toxicology (Philadelphia, Pa.) - 1 Sept 2022
Puszkiel Alicja, Malissin Isabelle, Cisternino Salvatore, Pallet Nicolas, Declèves Xavier, Mégarbane Bruno
Abstract excerpt
BACKGROUND: Tramadol-attributed toxicity may involve opioid-like, serotoninergic, and noradrenergic mechanisms. We investigated the mechanisms of toxicity in a massive tramadol ingestion case by examining serial clinical, imaging, electroencephalography, pharmacokinetics, and genotyping data. CASE REPORT: A 32-year-old female who presumably ingested 9000 mg sustained-release tramadol was found comatose without...
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