Acute psychotic disorder secondary to the treatment with tramadol

• Autores: Lucía Cid Conde, María del Carmen Alonso García, Belén Padrón Rodríguez, Ana María Fernández Castro
• Localización: European journal of clinical pharmacy: atención farmacéutica, ISSN 2385-409X, Vol. 15, Nº. 1, 2013, págs. 49-51
• Idioma: inglés
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• Resumen

  • Introduction: Psychotic disorder due to medical disease is referred to the development of delusions and/or persistent hallucinations that are related to direct physiological effect of the disease. Tramadol is an opioid analgesic used to treat moderate to severe pain, it is well tolerated and has few adverse effects. Case report: A patient, with no phsycotic history, developed acute psychotic disorder symptoms such as (delusional mood, depersonalization, paranoid thoughts, visual and auditory hallucinations and insomnia) related to the intake of extended-release tramadol two days before for osteoarthritis treatment adjustment. After the immediate withdrawal of the drug, the patient evolved favorably, and symptoms of insomnia, delusions and hallucinations subsided and he was completely aware and conscious again. Conclusion: To evaluate possible development of atypical adverse reactions to drugs as (acute psychotic disorders to tramandol) especially in elderly patients, polymedicated and susceptible to drug interactions that can threaten their safety and quality of life