A 24-year-old woman is brought to the emergency department (ED) after being discovered with a decreased level of consciousness in a local mall bathroom. Two doses of intranasal naloxone were administered on-site by bystanders. After receiving naloxone, her LOC improved, though she was still mildly sedated upon arrival to the ED. After 1-2 hours in the ED, she is alert and reported using 0.5g of smoked fentanyl prior to the episode. You learn …
Tramadol? Think of it more as ‘Tramadont’
Ok, I’ll concede that title is pretty bad, but I felt my usual name for Tramadol (Tramacrap), just didn’t seem as appropriate for a headline. Dad jokes aside, Tramadol is a synthetic opioid that entered the Canadian market in 2005, and has seen widespread uptake and use. Unfortunately, Tramadol has not been the miracle drug that we anticipated it would be, as is fraught with harms. Alarmingly, despite a host of problems associated …