As painkillers go, this was a surprise!
Admittedly, I have not used this painkiller, but none that I have
used caused me any problems and I have taken some powerful
painkillers, but not tramadol. Tramadol is a narcotic painkiller
whose use has increased worldwide steadily. The new research
demonstrates that the drug creates about a threefold increased risk
of being hospitalized for low blood glucose.
Even though some of these low blood
glucose episodes proved fatal, the association seen in the study does
not prove a cause and effect relationship, and instead of issuing a
cautionary warning, the researchers just call for more research.
Something this problematic should be further researched and at the
same time should cause a warning pending additional research.
Granted the research was done in Canada, but when WebMD and then
Endocrinology Advisor have articles on it, then there has to be some
importance attached.
Even though the researchers emphasize
that the study found serious low blood glucose even occurred in fewer
than one person for every 1,000 people taking tramadol every year.
The big surprise is that this is among all types of people and not
just those with diabetes. The researchers said an analysis of people
who have taken tramadol suggests that 40 percent of tramadol induced
hypoglycemia cases did not have known risk factors.
Tramadol is considered a weak narcotic
drug used for mild to moderate pain and has grown in popularity
because it has been said to be less addictive. Tramadol acts
differently than other narcotic drugs, as it disrupts the functioning
of two chemicals in the body: serotonin and norepinephrine. This is
the aspect of the drug that appears to be related to lowering blood
sugar
Anyone who takes tramadol is at risk
for low blood sugar, not only people with diabetes, who may already
be at risk of low blood sugar due to their diabetes treatment. Prior
to use, physicians and patients should consider the balance of all of
the possible concerns about tramadol along with its relatively mild
beneficial effect at relieving pain.
Tramadol may have a limited role in
some patients, but like other narcotics, it carries risks that often
outweigh the benefits. Patients should be told about the potential
for all adverse effects, including hypoglycemia. Tramadol isn't the
only option for pain relief, as there are other weak narcotic drugs
that can be used instead of tramadol.
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