• Am J Hosp Palliat Care · Sep 2015

    Does Tramadol Have a Role in Pain Control in Palliative Care?

    • José António Ferraz Gonçalves, Paula Silva, and Patrícia Araújo.
    • Palliative Care, Portuguese Institute of Oncology, Porto, Portugal ferrazg@ipoporto.min-saude.pt.
    • Am J Hosp Palliat Care. 2015 Sep 1; 32 (6): 631-3.

    BackgroundThe effectiveness of the step II of the World Health Organization analgesic ladder including tramadol has been questioned recently.MethodsRetrospective study of patients treated with tramadol admitted as inpatients to one palliative care unit between November 1, 2009, and October 30, 2012.ResultsIn the study period, 730 patients were admitted and 66 (9%) of them met the criteria for inclusion; 45 (68%) continued medication with tramadol until discharge from the unit, while 21 (32%) had to switch to an opioid for moderate to severe pain. The reason for switching was uncontrolled pain in 16 (76%) patients, and for 5 (24%) patients, the switch was made for other reasons.ConclusionThe data suggest that tramadol may have a role to play in the treatment of pain in palliative care.© The Author(s) 2014.

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