Over a two year period, we have seen 20 cases with physical dependence of tramadol, 17 of them had initially received tramadol for chronic noncancer pain. Clinical characteristics of these patients are given. Twelve of them (60 %) did not complete detoxification, indicating this to be a difficult patient group.
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Michael Soyka
Psychiatric Hospital University of Munich
Nußbaumstr. 7
80336 München
Germany
eMail: Michael.Soyka@psy.med.uni-muenchen.de
