Therapeutic experience with tramadol for opioid dependence in a patient with chronic low back pain: a case report.

ABSTRACT:

Background

Long-term opioid treatment for chronic non-cancer pain has become controversial, given the increasing prevalence of opioid dependence. However, there is little information on therapeutic strategies for this condition in Japanese patients. Here, we present a case of successful management of iatrogenic opioid dependence with tramadol in a patient with chronic low back pain.

Case presentation

A 68-year-old male suffering from intractable low back pain was referred to our pain clinic. He was previously treated in another hospital with transdermal fentanyl patches 6 mg/day and fentanyl sublingual tablets (100 μg as required) for this condition. On the basis of medical examination, including a review of the patient's medical history, physical examination, X-ray, and his

SUBMITTER: Shigematsu-Locatelli M 

PROVIDER: S-EPMC6967209 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature