摄入曲马多后不久出现持续性打嗝:病例报告和文献综述。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-31 DOI:10.2174/0115748863290330240116094015
Hossam Tharwat Ali, Ziad Emad Mohamed, Mohamed Mahmoud Shalaby, Ana Leticia Fornari Caprara, Jamir Pitton Rissardo
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引用次数: 0

摘要

背景和目的:曲马多可抑制血清素和去甲肾上腺素的再摄取,从而刺激打嗝反射弧的中枢部分。我们仅发现过两例曲马多诱发打嗝的病例。此外,有三项药物警戒研究调查了曲马多参与打嗝不良反应的病例。在此,我们介绍了一例中年男性在服用曲马多后不久出现打嗝的病例:一名 35 岁的男性主诉右膝盖慢性疼痛,接受了曲马多治疗。患者在服用第一剂曲马多后 10 小时内出现打嗝症状。患者试图通过非药物措施来停止打嗝,如停止肺部吸气和饮用冷饮。患者似乎集中精力避免打嗝,并在一段时间内避免了打嗝。然而,打嗝会在一个特定的时间突然出现。打嗝的频率为 1 次/5-10 秒,打断了患者的营养和睡眠模式。最后,医生怀疑曲马多会诱发打嗝,于是开始使用巴氯芬:结论:曲马多和阿片类药物都应被视为导致打嗝的原因。结论:曲马多和阿片类药物都应被视为导致打嗝的原因,我们的目标是提高医生对此类药物安全性的认识,并妥善处理相关风险。
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Persistent Hiccups Shortly after Tramadol Intake: A Case Report and Literature Review.

Background and objective: Tramadol can inhibit serotonin and norepinephrine reuptake leading to stimulation of the central component of the hiccup reflex arc. We have found only two previous cases of tramadol-induced hiccups. Additionally, three pharmacovigilance studies have investigated the involvement of tramadol in cases who have developed hiccups as adverse effects. Herein, we have presented a case of a middle-aged male who has developed hiccups shortly after tramadol intake.

Case presentation: A 35-year-old male complaining of chronic pain in the right knee was treated with tramadol. The individual developed hiccups within 10 hours of the first tramadol dose. The patient tried to stop the hiccups with non-pharmacological measures, such as stopping the air inside the lungs and drinking cold fluids. The patient appeared to concentrate on avoiding hiccups, which he could avoid for some time. However, then, the hiccups would come all at a unique time. The hiccups occurred at a frequency of one hiccup/5-10 seconds, interrupting the patient's nutrition and sleep pattern. Eventually, tramadol was suspected of inducing hiccups, and baclofen was started.

Conclusion: Tramadol as well as opioids should be considered as a cause of hiccups. We aim to improve awareness about the safety of such drugs among physicians and the proper management of associated risks.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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