The Sociodemographic and Clinical Characteristics of Tramadol Dependence Among Egyptians and Their Relationship to the Associated Insomnia

Wasify, Mohamed El; Fawzy, Mohamed; Barakat, Doaa; Youssef, Usama Mahmoud; Wasify, M.; Saleh, Alia A.; Helmy, Khaled; Hamed, Sherifa A.

doi:10.1097/adt.0000000000000129

Cited by 7 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most participants reported that they were convinced by their friends to take tramadol for the first time while some few other participants reported that their first experience with tramadol was to satisfy their curiosity about the wonders the drug could perform, as widely believed by the public. In tandem with these findings, peer pressure and curiosity have been cited in literature as some of the main causes of tramadol abuse (El Wasify et al, ). A few (2) of the participants of our study also reported that, they got addicted to the drug after it was prescribed for them for the management of their pain at the hospital.…”

Section: Discussionmentioning

confidence: 83%

Facilitators to the continuous abuse of tramadol among the youth: A qualitative study in Northern Ghana

et al. 2019

View full text Add to dashboard Cite

Study aimConsidering the alarming rate at which young people abuse tramadol, as evidenced by the numerous media reports on the subject, this qualitative study was conducted to explore the facilitators to the abuse of tramadol by young people.Design and methodsA qualitative exploratory descriptive design was employed in conducting the study. A total of 18 participants were purposively sampled. Data for the study were collected through two focused group discussions and three in‐depth‐interviews. Thematic analysis was used to analyse the data.ResultsThe findings of the study revealed four main themes. These themes were initiating factors of abuse; desirable physical effects; desirable psychological effects; and undesirable effects. It was revealed that many young people initially get into tramadol abuse because of peer pressure, curiosity or post‐traumatic addiction. However, they often continue the practice for various physical and psychological gratifications including euphoria, attentiveness, high energy levels, pain relief and improved sexual performance. The study also revealed some unpleasant side effects of tramadol abuse such as severe vomiting, loss of appetite, seizures, emotional aloofness and irritability. Many of the participants in this study also expressed willingness to quit tramadol abuse because of social discrimination and the enormous side effects that come with the abuse of the drug.

show abstract

Section: Discussionmentioning

confidence: 83%

Facilitators to the continuous abuse of tramadol among the youth: A qualitative study in Northern Ghana

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Many developing countries in the last decade have witnessed increasing trends in the misuse of psychoactive substances with tramadol becoming the major drug in these countries including Ghana [ 6 , 16 ]. Tramadol manifests some effect characteristic close to that of opioid agonists, and its misuse seems to be a problem for Ghana as several reports on the side effects of the drug, especially when taken in higher doses including nausea and vomiting, constipation, sweating, dizziness, seizures and postural hypotension, among others continue to build-up [ 5 , 6 , 16 , 38 – 40 ] . Our study contributes to the existing literature in various ways.…”

Section: Discussionmentioning

confidence: 99%

“With tramadol, I ride like a Jaguar”: a qualitative study of motivations for non-medical purpose tramadol use among commercial vehicle operators in Kumasi, Ghana

Peprah

Agyemang-Duah

Appiah-Brempong

et al. 2020

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

Background: The misuse of tramadol has become a major aspect of the wider substance use challenge in recent years and is evolving into a health crisis at an alarming rate. However, literature on motivations for non-medical purpose tramadol use among commercial vehicle operators remains inadequate. The aim of this study was to document the motivations for non-medical purposes tramadol use in Kumasi. Such an understanding could inform policy direction to regulate non-medical purposes tramadol use in Ghana. Methods: We conducted this exploratory qualitative study with 23 purposively selected commercial vehicle drivers (15) and assistants (8) in Kumasi, Ghana. Data for the study were collected through in-depth face-to-face interviews between June 2018 and March 2019. Using a thematic analytical approach, the interviews were coded and analysed. Results: Multiple motivations for non-medical purposes tramadol use were found including those related to: (1) sexual; (2) psychological; (3) physical; and (4) economic factors. Participants also reported three main inter-linking categories of perceived tramadol adverse effects: (1) physical; (2) psychological; and (3) social effects. Although participants indicated no plans for stopping their non-medical use of tramadol any time soon, strong willingness was voiced for supporting officials in finding and dealing with non-medical purpose tramadol sellers. Conclusion: Non-medical purposes tramadol use was associated with a confluence of factors, ranging from enhanced sexual performance to economic reasons. Based on the findings of the study and the dependence and addictive potentials of tramadol, there is the need for psychoeducational programmes for persons who misuse tramadol and enhancement of operational capacities of regulatory agencies.

show abstract

“…16 Although tramadol was approved in Egypt for marketing as a safe analgesic in 1995, 17 the Egyptian Ministry of Health listed it as a controlled substance in October 2002; moreover, the Egyptian Ministry of Health moved it from schedule 3 to 1 for highly addictive substances in 2012. 18 So, we conducted this work to detect suicidal probability among tramadol addicts and study the effect of severity of substance on suicidality.…”

mentioning

confidence: 99%

Suicide Probability Among Tramadol Addicts

Mohamed

Ibrahim

Mazloum

et al. 2020

Addictive Disorders &Amp; Their Treatment

View full text Add to dashboard Cite

Objectives:Tramadol addiction is one of the major addiction problems in growing countries, especially in Egypt. Moreover, there is a strong relation between suicidality and addiction even after exclusion of personality disorders; the burden of suicide adds to the burden of substance abuse in those individuals and their families. Materials and Methods:A cross-sectional descriptive study was conducted on 72 tramadol-dependent patients who were recruited randomly in this study from the addiction outpatient clinic of Okasha Institute of Psychiatry of Ain Shams University, after obtaining an informed consent. They are assessed by ( 1) Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Axis I Disorders for diagnosis of substance use disorder, (2) Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Axis II Disorders for exclusion of personality disorders, (3) suicide probability scale, and (4) Addiction Severity Index. Results:Regarding suicidal probability, 44.44% of the sample showed risk of suicide, which was severe among 19.44%, moderate among 11.11%, and mild among 13.89% of the sample. Regarding "Addiction Severity Index," most patients had no real medical problem. In the employment domain, 38.89% had a slight problem. In the drug use domain, 80.56% had a moderate problem.There is a significant relation between the degree of medical, drug use, and legal problem and the severity of suicidal risk. Moreover, the longer duration of addiction and the advanced age of patients are risk factors for suicidal probability. Conclusions:There is a suicide probability among tramadol addicts. The duration of tramadol use could be considered a strong risk factor for suicide, as the longer the duration of tramadol, the higher the suicidal risk.

show abstract

The Sociodemographic and Clinical Characteristics of Tramadol Dependence Among Egyptians and Their Relationship to the Associated Insomnia

Cited by 7 publications

References 27 publications

Facilitators to the continuous abuse of tramadol among the youth: A qualitative study in Northern Ghana

Facilitators to the continuous abuse of tramadol among the youth: A qualitative study in Northern Ghana

“With tramadol, I ride like a Jaguar”: a qualitative study of motivations for non-medical purpose tramadol use among commercial vehicle operators in Kumasi, Ghana

Suicide Probability Among Tramadol Addicts

Contact Info

Product

Resources

About