J.V. Lynskey, V.N. Kuzminov

It is known that pain in the structure of opioid different weight, and therefore requires effective therapy. Its main components are the intense pain in skeletal muscles, joint pain, abdominal pain, spastic nature, at least – a pain localization.
In order to relieve pain in the Ukrainian Practice of drug widely used different spasmodicals and analgesics. Among the latter is increasingly used opioid analgesic tramodol, formally attributable to a number of non-narcotic drugs. However, we know that all created so far opioid analgesics to a greater or lesser degree, have addictive properties, ie, the ability to cause dependence, tramodol is not an exception to this rule.

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There is ample empirical evidence supporting this view. Thus, while in the hospital suffering from opium addiction is not only willing to take tramodol, but actively encouraged the doctor to his appointment, as a rule, explaining the request to be painful. Indeed, in combination with benzodiazepines tramodol fast easy condition of patients at the height of the withdrawal syndrome. However, many patients ask, and doctors prescribe tramodol for up to 2 weeks or more, that can hardly be justified, even in those with high daily doses of the drug and long anesthesia. This lack of doctors’ drug caution “in relation to tramadol, from our point of view, due to the paucity of available literature information about the addictive properties of this drug.