Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History

Tramadol is a powerful analgesic medication with antidepressant effects like venlafaxine. Hypomanic features were reported in patients with psychiatric history of mood disturbance when tramadol was prescribed for them. However, it is extremely rare to notice such mood-elevating effect in patients wh...

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Main Authors: Mugtaba Osman, Mashael Mustafa
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2018/9574395
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author Mugtaba Osman
Mashael Mustafa
author_facet Mugtaba Osman
Mashael Mustafa
author_sort Mugtaba Osman
collection DOAJ
description Tramadol is a powerful analgesic medication with antidepressant effects like venlafaxine. Hypomanic features were reported in patients with psychiatric history of mood disturbance when tramadol was prescribed for them. However, it is extremely rare to notice such mood-elevating effect in patients who have no previous psychiatric history. We report on the observation of a distressing mood-elevating effect for tramadol in a patient with no previous psychiatric history. We present the case of a 26-year-old female patient who developed accelerated flow of speech, overactivity, and difficulty in sleeping following intake of tramadol 50 mg dose. These symptoms resolved four hours later and recurred as she retook tramadol. The patient has no history of mood disorder or any other psychiatric comorbidity. Clinicians should exercise caution when prescribing tramadol.
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institution Kabale University
issn 2090-682X
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series Case Reports in Psychiatry
spelling doaj-art-d7ee668bb3434794b8c39183b56d09b92025-02-03T05:58:13ZengWileyCase Reports in Psychiatry2090-682X2090-68382018-01-01201810.1155/2018/95743959574395Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric HistoryMugtaba Osman0Mashael Mustafa1Armed Forces Centre for Psychiatric Care, Armed Forces Hospital in Taif Region, Taif, Saudi ArabiaArmed Forces Centre for Health Rehabilitation in Taif, Armed Forces Hospital in Taif Region, Taif, Saudi ArabiaTramadol is a powerful analgesic medication with antidepressant effects like venlafaxine. Hypomanic features were reported in patients with psychiatric history of mood disturbance when tramadol was prescribed for them. However, it is extremely rare to notice such mood-elevating effect in patients who have no previous psychiatric history. We report on the observation of a distressing mood-elevating effect for tramadol in a patient with no previous psychiatric history. We present the case of a 26-year-old female patient who developed accelerated flow of speech, overactivity, and difficulty in sleeping following intake of tramadol 50 mg dose. These symptoms resolved four hours later and recurred as she retook tramadol. The patient has no history of mood disorder or any other psychiatric comorbidity. Clinicians should exercise caution when prescribing tramadol.http://dx.doi.org/10.1155/2018/9574395
spellingShingle Mugtaba Osman
Mashael Mustafa
Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History
Case Reports in Psychiatry
title Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History
title_full Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History
title_fullStr Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History
title_full_unstemmed Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History
title_short Tramadol-Induced Mood Elevation in a Patient with No Previous Psychiatric History
title_sort tramadol induced mood elevation in a patient with no previous psychiatric history
url http://dx.doi.org/10.1155/2018/9574395
work_keys_str_mv AT mugtabaosman tramadolinducedmoodelevationinapatientwithnopreviouspsychiatrichistory
AT mashaelmustafa tramadolinducedmoodelevationinapatientwithnopreviouspsychiatrichistory