Can I take Tramadol ?

Canadian guidelines suggest that the potential risk of addiction is leaner with tramadol as compared to other opioids.2 However, this risk is dependent upon genotype; tramadol abuse is well described in certain Middle Eastern countries,5 the place that the CYP2D6 ultra-rapid metabolizer phenotype is prevalent (Appendix 1). Opioid withdrawal is normal following chronic tramadol use.6 As with conventional opioids, tramadol may be associated with apnea and death.5 Despite being metabolized for an opioid, tramadol isn’t scheduled inside the Canadian Controlled Drugs and Substances Act.

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