TY - JOUR ID - 12402 TI - Effect of Using Tramadol on Shoulder Dislocation JO - Asia Pacific Journal of Medical Toxicology JA - APJMT LA - en SN - 2322-2611 AU - Ghassemi Toussi, Alireza AD - Addiction Research Center (ADRC), Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Y1 - 2019 PY - 2019 VL - 8 IS - 1 SP - 25 EP - 27 KW - Ejaculation KW - Seizures KW - Shoulder dislocation KW - Tramadol DO - 10.22038/apjmt.2019.12402 N2 - Background: One of the side effects of tramadol is seizure. Tramadol is a synthetic analgesic used to treat mild to moderate pain. Tramadol can cause seizures in the range of treatment and toxic doses. This seizure is usually in a generalized tonic-clonic from and usually occurs in the first 24 hours after ingestion. Case Presentation: The patient was a 32-year-old man referring to the emergency department with a right shoulder joint dislocation. It was reported that after a tonic-clonic seizure for about 1 minute, it has been followed by foaming at the mouth, eye lifting, urinary incontinence and loss of consciousness for about 5 minutes. He used a combination substance of sildenafil and tramadol to treat an early ejaculation. The patient has referred to the hospital 5 times with shoulder dislocation, without providing a detailed explanation about the use of tramadol and subsequent seizures Discussion: Tramadol misuse and overdose is a common medical issue in Iran and around the world. Regarding the arbitrary use of tramadol in Iran, especially through the non-scientific prescriptions by apothecaries in some cases such as early ejaculation treatment, attention to patient records along with the cause of referral is essential. Conclusion: Considering the prevalence of tramadol use, the community of physicians is advised to think of tramadol as a common cause for shoulder dislocation. UR - https://apjmt.mums.ac.ir/article_12402.html L1 - https://apjmt.mums.ac.ir/article_12402_c2a04d0bee626c170fb800b143c290f6.pdf ER -