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Unrecognised long-lasting tramadol-induced delirium in two elderly patients. A case report


Künig, G; Dätwyler, S; Eschen, A; Schreiter Gasser, U (2006). Unrecognised long-lasting tramadol-induced delirium in two elderly patients. A case report. Pharmacopsychiatry, 39(5):194-199.

Abstract

We present the cases of two elderly patients with intermittent long-term tramadol intake against chronic back pain. Over a period of more than two years they experienced fluctuating confusional states and cognitive deficits, reversible only after discontinuation of tramadol. According to the DSM IV-criteria, an unrecognised recurrent tramadol-induced delirium can be diagnosed in both cases. Although tramadol may represent a well established safe therapy for chronic non-malignant pain in the elderly, these cases demonstrate that it should be applied with caution even in healthy subjects.

Abstract

We present the cases of two elderly patients with intermittent long-term tramadol intake against chronic back pain. Over a period of more than two years they experienced fluctuating confusional states and cognitive deficits, reversible only after discontinuation of tramadol. According to the DSM IV-criteria, an unrecognised recurrent tramadol-induced delirium can be diagnosed in both cases. Although tramadol may represent a well established safe therapy for chronic non-malignant pain in the elderly, these cases demonstrate that it should be applied with caution even in healthy subjects.

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9 citations in Web of Science®
12 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute for Regenerative Medicine (IREM)
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2006
Deposited On:05 Sep 2011 10:34
Last Modified:16 Aug 2016 10:14
Publisher:Thieme
ISSN:0176-3679
Publisher DOI:https://doi.org/10.1055/s-2006-948331
PubMed ID:16944413

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