Evidence map›Paper›PMID 25888861›Full record

ArticleDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences2015

Tramadol half life is dose dependent in overdose.

Hamid Khosrojerdi, Ghazal Alipour Talesh, Gholam Hassan Danaei, Sara Shokooh Saremi, Afrouz Adab, Reza Afshari

Open access · hybridAbstract read
In one paragraph

Article in Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hamid KhosrojerdiAddiction Research Centre, Imam Reza (p) Hospital, Ibn-e-Sina Street, Mashhad University of Medical Sciences, Mashhad, 9133316791, Iran. Hkhosrojerdi7@gmail.com.
Ghazal Alipour TaleshNanotechnology Research Centre, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. ghazaal.alipour@gmail.com.
Gholam Hassan DanaeiAddiction Research Centre, Imam Reza (p) Hospital, Ibn-e-Sina Street, Mashhad University of Medical Sciences, Mashhad, 9133316791, Iran. toxdanay@gmail.com.
Sara Shokooh SaremiNanotechnology Research Centre, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. ShokoohS871@mums.ac.ir.
Afrouz AdabAddiction Research Centre, Imam Reza (p) Hospital, Ibn-e-Sina Street, Mashhad University of Medical Sciences, Mashhad, 9133316791, Iran. Adaba871@mums.ac.ir.
Reza AfshariAddiction Research Centre, Imam Reza (p) Hospital, Ibn-e-Sina Street, Mashhad University of Medical Sciences, Mashhad, 9133316791, Iran. AfshariR@mums.ac.ir.
Imam Reza Hospital · IRMashhad University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTramalol overdose is disproportionately more common in Iran. In recent years, Tramadol overdose has become one of the most common causes of poisoning admissions to emergency departments in this country. To the best of our knowledge, there is little or no information regarding the toxicokinetic properties of Tramadol such as its half life. Given the fact that poisoning management should be based on the toxicokinetic of substances, we aimed at investigating the half life of Tramadol in man as a critical toxicokinetic variable in overdose.

methodsBlood samples of each patient were collected on admission and repeated later. Plasma was harvested after separation from blood cells by centrifugation and quantified using HPLC method. Calculations were performed on Tramadol blood concentration quantities.

findingsDemographic: Most of cases were men (81.81%). Mean (Standard Deviation (SD), min-max) age was 23 (8.142, 17-40). Serum Tramadol levels: Mean (SD, min-max) first Tramadol concentration was 786.91 (394.53, 391-1495). Mean (SD, min-max) second Tramadol concentration was 433.09 (269.63, 148-950). Mean (SD, min-max) of Tramadol half life was calculated as 9.24 hour (2.310, 4.99-13.45) Associations: Half life was associated with higher concentrations (r=0.708 Sig=0.015).

conclusionWe report the mean half life of tramadol in overdose to be 9.24 hours which is remarkably higher than that measured in previous pharmacokinetic studies. We also concluded that Tramadol half life is dose dependent in overdose which may explain the further consequences of severe overdoses.

Indexed as

AdolescentAdultAnalgesics, OpioidCross-Sectional StudiesDrug OverdoseFemaleHalf-LifeHumansIranMaleProspective StudiesTramadolYoung AdultAnalgesics, OpioidTramadol

Identifiers

PMID25888861
PMCPMC4348403
OpenAlexW2105674466

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.