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  3. Vol. 10 No. 4 (2020): International Journal of Medical Toxicology and Forensic Medicine
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Vol. 10 No. 4 (2020)

November 2020

Efficacy of Lofexidine in the Outpatient Management of Tramadol Withdrawal Syndrome Lofexidine in management of tramadol withdrawal

  • Mohammad Majidi
  • Solmaz Nekoueifard

International Journal of Medical Toxicology and Forensic Medicine, Vol. 10 No. 4 (2020), 16 November 2020 , Page 32270
https://doi.org/10.32598/ijmtfm.v10i4.32270 Published: 11/23/2020

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Abstract

Tramadol is recognized as an opioid with non-opiate properties. It has a low affinity for opioid receptors and prevents reabsorption of norepinephrine and serotonin at synapses. It also increases the level of Gamma Aminobutyric Acid (GABA) in the central nervous system [1, 2]. Tramadol is an analgesic for patients suffering from moderate to severe pain [1]. In addition, previous studies have shown that tramadol abuse and suicidal attempts have increased in Iran [3, 4].

Keywords:
  • Lofexidine; Tramadol; Substance Withdrawal Syndrome
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How to Cite

Majidi, M., & Nekoueifard, S. (2020). Efficacy of Lofexidine in the Outpatient Management of Tramadol Withdrawal Syndrome: Lofexidine in management of tramadol withdrawal . International Journal of Medical Toxicology and Forensic Medicine, 10(4), 32270. https://doi.org/10.32598/ijmtfm.v10i4.32270
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References

1. Habibollahi P, Garjani A, Shams Vahdati S, Sadat-Ebrahimi SR, Parnianfard N. Severe complications of tramadol overdose in Iran. Epidemiol Health. 2019; 41:e2019026. doi:10.4178/epih.e2019026
2. Stacey BR, Dworkin RH, Murphy K, Sharma U, Emir B, Griesing T. Pregabalin in the treatment of refractory neuropathic pain: results of a 15-month open-label trial. Pain Med. 2008; 9(8):1202-1208. doi:10.1111/j.1526-4637.2008.00423.x
3. Ripamonti C, Fagnoni E, De Conno F. Withdrawal syndrome after delayed tramadol intake. Am J Psychiatry. 2004; 161(12):2326-2327. doi:10.1176/appi.ajp.161.12.2326
4. Tarkkila P, Tuominen M, Lindgren L. Comparison of respiratory effects of tramadol and pethidine. Eur J Anaesthesiol. 1998; 15(1):64-68. doi:10.1046/j.1365-2346.1998.0233a.x
5. Kabel JS, van Puijenbroek EP. Bijwerkingen van tramadol: 12-jaar ervaring in Nederland [Side effects of tramadol: 12 years of experience in the Netherlands]. Ned Tijdschr Geneeskd. 2005; 149(14):754-757.
6. Flemming H, Hoffman R. A Commentary: Do α2-Adrenergic Agonists Decrease the Symptoms Associated with Opioid Withdrawal? Ann Emerg Med. 2018; 71(2):268. doi:10.1016/j.annemergmed.2017.09.033
7. Park YM, Park HK, Kim L, Lee HJ, Kang SG. Acute-withdrawal restless legs syndrome following abrupt cessation of short-term tramadol. Psychiatry Investig. 2014; 11(2):204-206.
8. Barsotti CE, Mycyk MB, Reyes J. Withdrawal syndrome from tramadol hydrochloride. Am J Emerg Med. 2003; 21(1):87-88.
9. Sidana A, Domun I, Arora P. Tramadol withdrawal psychosis. Indian J Psychiatry. 2019;61(6):655-656
10. Gish EC, Miller JL, Honey BL, Johnson PN. Lofexidine, an {alpha} 2-receptor agonist for opioid detoxification. Ann Pharmacother. 2010; 44(2):343-351. doi:10.1345/aph.1M347
11. Nair AS. Lofexidine for Treating Opioid Withdrawal Syndrome in Palliative Care Patients. Indian J Palliat Care. 2018; 24(4):546-547. doi:10.4103/IJPC.IJPC_103_18
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