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Pharmacological Effects of Tramadol, an Opioid

Year 2023, Volume: 32 Issue: 4, 206 - 214, 31.12.2023
https://doi.org/10.17827/aktd.1305162

Abstract

Tramadol, which shows chemical similarity with morphine, is an analgesic drug acting central nervous system. The analgesic potency of tramadol, a synthetic codein analog, is lower than morphine because of its weak µ-opioid receptor affinity. Although it is a frequently preferred drug in the treatment of acute and chronic pain, its abuse has been increasing recently. Tramadol also has a relaxing effect and is less addictive than other opioids. It is also commonly used in pregnant women. In this review, general information about the pharmacological properties, side effects and embryoteratogenicity of tramadol is given.

References

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Bir Opioid Olan Tramadolün Farmakolojik Etkileri

Year 2023, Volume: 32 Issue: 4, 206 - 214, 31.12.2023
https://doi.org/10.17827/aktd.1305162

Abstract

Tramadol, yapıca kodeine benzeyen, sentetik bir opiod olan santral etkili analjeziktir. Analjezik etkisini selektif zayıf µ-opioid reseptör affinitesiyle göstermektedir. Ayrıca gebelerde kullanımı da yaygındır. Akut ve kronik ağrı tedavilerinde sıklıkla tercih edilen bir ilaç olmasına rağmen son zamanlarda kötüye kullanımı da giderek artmaktadır. Tramadol, rahatlatıcı bir etkiye de sahip olup diğer opioidlere göre bağımlılık yapma potansiyeli daha düşüktür. Gebelerde analjezik etkisi nedeniyle yaygın olarak kullanıldığı halde embriyoteratonejitesi hakkında yeterli çalışma yapılmamıştır.

References

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  • 3. Kayaalp O, Uzbay T. İlaç Kötüye Kullanımı ve İlaç Bağımlılığı, Akılcı Tedavi yönünden Tıbbi Farmakoloji 13. baskı. 2. Cilt. s. 2012:846-868.
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  • 6. Corbett AD, Henderson G, McKnight AT, Paterson SJ. 75 years of opioid research: the exciting but vain quest for the Holy Grail. British journal of pharmacology. 2006;147(S1):S153-S162.
  • 7. Ahlbeck K. Opioids: a two-faced Janus. Current medical research and opinion. 2011;27(2):439-448.
  • 8. Milhorn HT, Milhorn HT. Opioids. Chemical Dependence: Diagnosis, Treatment, and Prevention. 1990:167-183.
  • 9. Chhangani S. Handbook of Clinical Anesthesia. The Clinical Journal of Pain. 2001;17(4):380.
  • 10. J Mistry C, Bawor M, Desai D, C Marsh D, Samaan Z. Genetics of opioid dependence: a review of the genetic contribution to opioid dependence. Current psychiatry reviews. 2014;10(2):156-167.
  • 11. Hilal Dandan Randa LLB. Goodman ve Gilman’ın Farmakoloji ve Tedavi El Kitabı, çev: Remzi Erdem.
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  • 14. Bagley EE, Ingram SL. Endogenous opioid peptides in the descending pain modulatory circuit. Neuropharmacology. 2020;173:108131.
  • 15. Zadina JE, Hackler L, Ge L-J, Kastin AJ. A potent and selective endogenous agonist for the µ-opiate receptor. Nature. 1997;386(6624):499-502.
  • 16. Friedman A, Nabong L. Opioids: pharmacology, physiology, and clinical implications in pain medicine. Physical Medicine and Rehabilitation Clinics. 2020;31(2):289-303
  • 17. Bodnar RJ. Endogenous opiates and behavior: 2012. Peptides. 2013;50:55-95.
  • 18. Karkhanis AN, Al-Hasani R. Dynorphin and its role in alcohol use disorder. Brain research. 2020;1735:146742.
  • 19. Tempfer C, Zeisler H, Heinzl H, Hefler L, Husslein P, Kainz C. Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2alpha, and beta-endorphin: a matched pair study. Obstetrics & Gynecology. 1998;92(2):245-248.
  • 20. Reichlin S. Neuroendocrinology. In: Wilson JD, Foster DW, Kronenberg HM, Larsen PR, eds. 1998.
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  • 22. Stein C, Schäfer M, Machelska H. Attacking pain at its source: new perspectives on opioids. Nature medicine. 2003;9(8):1003-1008.
  • 23. Power I, Barratt S. Analgesic agents for the postoperative period: nonopioids. Surgical Clinics of North America. 1999;79(2):275-295.
  • 24. Mizoguchi H, Narita M, Nagase H, Tseng LF. Activation of G-proteins in the mouse pons/medulla by β-endorphin is mediated by the stimulation of μ-and putative ε-receptors. Life Sciences. 2000;67(22):2733-2743.
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  • 27. Atamer-Şimşek Ş. Opiat Reseptörleri. PsikofarmakolojideYenilikler Sempozyumu. 1991.
  • 28. Cabıoğlu T. Endojen opioidler. Genel Tıp Dergisi. 2001;11(4):161-167.
  • 29. Morgan Jr GE, Mikail MS. Clinical anesthesiology. Clinical anesthesiology; 1996:881-881.
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  • 31. Raffa RB, Friderichs E. Profile of Tramadol and Tramadol Analogues. Pain: CRC Press; 2003:752-763.
  • 32. Raffa RB, Friderichs E, Reimann W, Shank RP, Codd EE, Vaught JL. Opioid and nonopioid components independently contribute to the mechanism of action of tramadol, an'atypical'opioid analgesic. Journal of Pharmacology and Experimental Therapeutics. 1992;260(1):275-285.
  • 33. Biasi G, Manca S, Manganelli S, Marcolongo R. Tramadol in the fibromyalgia syndrome: a controlled clinical trial versus placebo. International journal of clinical pharmacology research. 1998;18(1):13-19.
  • 34. Herbert MK, Weis R, Holzer P. The enantiomers of tramadol and its major metabolite inhibit peristalsis in the guinea pig small intestine via differential mechanisms. BMC pharmacology. 2007;7(1):1-11.
  • 35. Grond S, Sablotzki A. Clinical pharmacology of tramadol. Clinical pharmacokinetics. 2004;43:879-923.
  • 36. Kuzucuoğlu T.YENİ OPİOİD ANALJEZİK TRAMADOL HYDROCHLORİD.
  • 37. Lee CR, McTavish D, Sorkin EM. Tramadol: a preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in acute and chronic pain states. Drugs. 1993;46:313-340.
  • 38. Lintz W, Barth H, Osterloh G, Schmidt-Böthelt E. Bioavailability of enteral tramadol formulations. 1st communication: capsules. Arzneimittel-Forschung. 1986;36(8):1278-1283.
  • 39. Lintz W, Becker R, Gerloff J, Terlinden R. Pharmacokinetics of tramadol and bioavailability of enteral tramadol formulations 4th communication: Drops (without ethanol). Arzneimittelforschung. 2000;50(02):99-108.
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There are 99 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Burçin Ün 0000-0002-8065-8165

Ayper Pekmezekmek 0000-0002-3028-605X

Betül Kalay 0009-0009-4085-3423

Özlem Özü 0000-0001-6297-9865

Ata Seçilmiş 0000-0002-7224-8764

Publication Date December 31, 2023
Acceptance Date November 15, 2023
Published in Issue Year 2023 Volume: 32 Issue: 4

Cite

AMA Ün B, Pekmezekmek A, Kalay B, Özü Ö, Seçilmiş A. Bir Opioid Olan Tramadolün Farmakolojik Etkileri. aktd. December 2023;32(4):206-214. doi:10.17827/aktd.1305162