Features of dependence on the abuse of tramadol
Of presented article provides data on the study of 25 patients with mental and behavioral disorders due to abuse of anesthetic tramadol. Tramadol, being an opioid analgesic, is not listed as a drug but is classified as a potent drug. Therefore, given the legal criterion, the abuse of tramadol is not about «opium addiction», but about «opium addiction». Patients who abused tramadol were divided into two groups: group 1 - other opiates that did not use tramadol before taking tramadol; group 2 - patients with opiate addiction who switched to tramadol for economic (high cost of heroin and artisanal acetylated opiates) or other (conflict with the law and fear of being detained with drugs). Most patients reported using 300 mg or more per day to achieve euphoria. The reasons for the initiation of the drug, the features of anesthesia, the clinical picture of tramadol toxicomania, the syndrome of physical dependence, specific changes in the personality of patients are described.