De tramadol-voorgeschreven pijnstiller die honderdduizenden mensen dagelijks innemen, doodt meer mensen dan welk ander medicijn ook, inclusief heroïne en cocaïne.
Het analgeticum veroorzaakt geen schade als het op de juiste manier wordt ingenomen, maar het wordt zeer gevaarlijk wanneer het wordt gemengd met andere drugs of alcohol. Vorig jaar waren er in Noord-Ierland 33 sterfgevallen die alleen verband hielden met tramadol. Onder de doden was een 16-jarig meisje en een 70-jarige gepensioneerde. De opioïde-gebaseerde medicatie wordt gebruikt om matige of ernstige pijn te behandelen en dient alleen met een recept te worden ingenomen. In 2014 werd het geclassificeerd als een illegale klasse “C” opioïde drug die zonder recept niet kan worden toegediend.
Het probleem is dat veel mensen al verslaafd zijn aan Tramadol en zich wenden tot de zwarte markt om het te verkrijgen omdat ze niet meer recepten kunnen krijgen voor het beëindigen van hun behandeling of omdat hun arts een ander medicijn heeft voorgeschreven.
“Omdat het een drug zo vaak gebruikt en zoals voorgeschreven, denk niet dat mensen beseffen het potentieel dat zij hebben wanneer zij Tramadol zonder medisch risico toezicht,” zei Professor Jack Crane, staat patholoog voor Noord-Ierland.
Kraan vereist dat de Tramadol-classificatie opnieuw wordt bijgewerkt, zodat deze wordt bijgewerkt naar klasse “A”.
Pijnbehandeling: tolerantie en verslaving
Sommige medicijnen die worden gebruikt om pijn te behandelen kunnen verslavend zijn. Verslaving is anders dan fysieke afhankelijkheid of tolerantie. In gevallen van fysieke afhankelijkheid treden ontwenningsverschijnselen op wanneer een stof plotseling wordt gesuspendeerd. Tolerantie treedt op wanneer de aanvangsdosis van een stof na verloop van tijd zijn effectiviteit verliest. Verslaving is een psychologische en gedragsmatige reactie die sommige mensen ontwikkelen met het gebruik van narcotische pijnstillers.
Mensen die gedurende lange tijd opioïde medicijnen gebruiken, kunnen tolerantie en fysieke afhankelijkheid ontwikkelen, hoewel dit niet betekent dat ze verslaafd zijn. Over het algemeen komt verslaving slechts bij een klein percentage van de mensen voor wanneer narcotica met voldoende medisch toezicht worden gebruikt.
Opioïde analgetica vergelijkbaar met die van opium of morfine effecten kunnen zeer verslavend en werken door te binden aan receptoren in de hersenen, het blokkeren van de sensatie van pijn.
Ze mogen niet langer dan 3 of 4 maanden worden gebruikt, tenzij dit gebeurt onder rechtstreeks toezicht van uw arts.
Sommige namen van opiaatmedicijnen:
- Codeine.
- fentanyl
- Hydrocodone.
- hydromorfon
- Meperidina
- Morfine.
- oxicodona
- tramadol
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