Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. After the data collection, all the recorded responses were transcribed verbatim and translated by all researchers independently into English. The Ghana Health Service has declared the issue as a national concern and putting in place measures such as seizures to control it. Using myself for example, I always feel very weak, dizzy and confused each time I take the drug. The drug to the participants makes them focused, alert and attentive on their daily activities. Tramadol, sold under the brand name Ultram among others, [1] is an opioid pain medication used to treat moderate to moderately severe pain. To recruit the participants, potential participants were selected from the general population of commercial vehicle drivers and assistants. Aside from the pressure, few of the participants reported curiosity as a factor that led them to tramadol use. They further expressed their willingness to collaborate with health officials and security agencies in finding fake and illegal tramadol peddlers. Based on this, 23 participants including 15 drivers and 8 assistants accepted to participate and were included in the study. 1043: Tramadol hcl has promise in on demand use to treat premature ejaculation. Show them a complete list of all of your medicines. Few of the participants confirmed to have ejaculation issues that have been diagnosed and confirmed by a medical officer. Phosphodiesterase-5 inhibitors. One driver also recounted his experience: I started using tramadol when I was an assistant to one Cargo driver in 2016. I remember she told me that my performance has reduced and she has heard tramadol is very effective to improve sexual performance. [12] investigated more than 16,000 identified cases of adolescent (age 1319years) prescription drug misuse in the United States between 2007 and 2009, where the most frequent opioids were Hydrocodone (32%), Oxycodone (15%), and tramadol (11%). The study found that tramadol is readily available, accessible and affordable compared to other similar drugs. Ask your pharmacist to recommend a painkiller. CAS We are nothing without herbs: a story of herbal remedies use during pregnancy in rural Ghana. Hassan N. Tramadol has become a household for the youth of Kpandai District; 2018. Interestingly, few of the male participants explained that their partners support their use of tramadol and some even buy for them. Google Scholar. El Wasify M, Fawzy M, Barakat D, Youssef U, El Wasify M, Saleh A, et al. Jovanovi-upi V, Martinovi , Nei N. Seizures associated with intoxication and abuse of tramadol. 3 Medical team review Some states require a video chat, we'll let you know. Involvement of NMDA receptors in the antidepressant-like effect of tramadol in the mouse forced swimming test. The researchers also reflected on their own biases and prejudices and bracketed and controlled them before the data were collected. Expert Committee on Drug Dependence, Thirty-Second Report. Tramadol is a specific type of narcotic medicine called an opioid that is approved to treat moderate to moderately severe pain in adults. The study is novel in that it provides an in-depth description of the opinions of people who use tramadol, the ways in which they use and what they see as their key motivations. Participants also reported three main inter-linking categories of perceived tramadol adverse effects: (1) physical; (2) psychological; and (3) social effects. The .gov means its official.Federal government websites often end in .gov or .mil. 2013;76(5):8234. I have been using tramadol which was recommended by a relative and now I am very fine. [43] opinion that sexual performance conveys a sense of self-esteem and manhood because it is often disgraceful for a man to be associated with sexual weakness or dysfunction, especially when the dysfunction occurs in his youthful years in Ghanaian society. With tramadol, I ride like a Jaguar: a qualitative study of motivations for non-medical purpose tramadol use among commercial vehicle operators in Kumasi, Ghana. Cialis is used to treat the following conditions: Benign Prostatic Hyperplasia Erectile Dysfunction tramadol A total of 651 drugs are known to interact with tramadol . For instance, in Nigeria, tramadol misuse has a prevalence of approximately 54.4%, and over 91% of those who use the drug obtain it without prescriptions [16]. Geneva: WHO; 2006. Significantly, the study observed some factors which are largely economic in nature that also motivate the study participants to use tramadol. Kirby E, Carson C, Coward R. Tramadol for the management of premature ejaculation: a timely systematic review. Another participant also offered his support: I heard the police are seizing fake tramadol and punishing the illegal sellers. Curiosity, peer coercion and enticement were repeatedly cited by the participants as the factors that initiated them into their first tramadol use. Let me tell you this, ladies of today need guys who can really perform well in bed, in fact, their sexual demands are many whilst their standard is high. It became known from the interviews that participants follow recommendations and testimonies from friends and others who had used or are using the drug for other purposes aside from its medical functions. I remember when I started working with him in my first week, he told me the work is very tedious and requires some aggression. Fourth, one good revelation from this study is that many of the participants expressed willingness and desire to support the ongoing efforts of health officials and security agencies to curb tramadol misuse. In addition, this study provides evidence to suggest that certain physical effects including perceived invigorating and analgesic effects of tramadol also served as motivations for non-medical purposes tramadol use among the study participants. Common side effects of tramadol encountered in a private rheumatology clinic. Oguntona S, Adelowo O. Tramadol has been shown to cross the placenta. Amidu N, Owiredu WK, Woode E, Addai-Mensah O, Gyasi-Sarpong K, Alhassan A. The sampling technique provided the needed flexibility to focus on participants who were required for the study [28,29,30]. Gillen C, Haurand M, Kobelt DJ, Wnendt S. Affinity, potency and efficacy of tramadol and its metabolites at the cloned human mu-opioid receptor. Atindanbila S, Mawusi A, Attiogbe A, Abasimi E, Amooba P. Bio-psychosocial factors associated with the use of sexual enhancers among Ghanaian men. Urology. Privacy 2023 BioMed Central Ltd unless otherwise stated. Tramadol is a strong pain medication used to treat moderate to severe pain that is not being relieved by other types of pain medicines. Though the body of evidence evaluating tramadol for a sexual function is relatively small but uniformly demonstrates that it is an effective treatment [16, 45, 50, 52,53,54,55] which supports our study participants claim the drug is effective for improving sexual performance and treating ejaculation issues. Most of the participants described tramadol as an effective drug for de-stressing themselves and relieving tiredness or fatigue. Finally, we performed a thematic analysis based on the data content. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. Tramadol abuse and sexual function. 2016;2016. Tadalafil under the name of Cialis is used to treat erectile dysfunction (impotence) and symptoms of benign prostatic hypertrophy (enlarged prostate). PubMedGoogle Scholar. Prince Peprah. Use of tramadol in psychiatric care: a comprehensive review and report of two cases. 2018;8:6674. Whilst the mechanism(s) through which tramadol causes these adverse effects is largely difficult to explain in this study, the side effect of a headache could possibly be an indication that usage of these substances increases blood pressure which may result in cardiovascular disorders with prolonged use. Aside from the underpinning objectives of the present study which have been sufficiently analysed and discussed, four main interesting themes/findings surfaced which are worth mentioning and discussing: First, the study revealed that those who use tramadol are aware of the possible adverse physical, psychological and social effects of their usage. If tramadol makes you vomit or have severe diarrhoea for more than 24 hours, your contraceptive pills may not protect you from pregnancy. I know some of those sellers and can help the police. However, two important caveats must be acknowledged here: Our findings cannot be regarded as representative to other groups of people who use tramadol and different settings as the study is purely qualitative with aim of identifying contextual themes that cannot be independent of the individuals and context involved. This study offers a useful understanding of varied reasons for using tramadol for non-medical purposes among commercial vehicle drivers and assistants in Kumasi, Ghana. The Ghana Health Service Ethics Review Committee exempted the ethical approval due to the nature of this general qualitative study involving voluntary participants according to the Standard Operating Procedures 2015. 2010;22(6):337. Niger J Technol. Nurs Res. 2019;19(1):65. Pain Res Manag. They specifically explained that no seller has ever requested a prescription note from them before selling the drug to them. 2018;391(10134):1982. I also cant eat either. Third, knowing the effects of tramadol misuse, participants showed no willingness of stopping using tramadol for non-medical purposes which suggests the dependence and addictive potentials of the drug [1]. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Most of the participants claimed knowing most of the unlicensed chemical shops and people selling what they see as fake tramadol. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Side effects might include nausea, headache, sleepiness and dizziness. 2016;4(3):23546. Other medical uses include suppression of diarrhea, replacement therapy for opioid use disorder, reversing opioid overdose, and suppressing cough. World Health Organisation. The misuse of tramadol has become a major aspect of the wider substance use challenge in recent years and is evolving into a health crisis at an alarming rate. In the US, statistics indicate that 3.2 million people aged 12 or older use tramadol for non-medical purposes in their lifetime [11]. Prince Peprah, Social Policy Research Centre, University of New South Wales, Sydney, Australia, Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Department of Health Promotion and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Emmanuel Appiah-Brempong&Adjei Gyimah Akwasi, Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, You can also search for this author in An official website of the United States government, : A randomized double-blind, placebo-controlled multicenter study to evaluate the efficacy and safety of two doses of the tramadol orally disintegrating tablet for the treatment of premature ejaculation within less than 2 minutes. Most of the participants reported that they use tramadol to boost their energy in order to carry out their daily activities. Competing paradigms in qualitative research. Try wearing loose clothing, using a strong anti-perspirant and using a fan, if possible. Factors associated with aphrodisiac use among men in Agbogbloshie in Greater Accra region: University of Ghana; 2019. The opening question asked participants to give an account of their background to tramadol use. Nursing Open. J Sci Med Sport. Evidence suggests that the misuse of tramadol has some effects including nausea, vomiting, constipation, sweating, dizziness, seizures and postural hypotension [1, 22, 23]. Tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. Big thanks to my friend who first gave me the drug (31 years old, female, assistant). 2018;50(6):e13026. Participants for the study were a purposive sample of commercial vehicle drivers and assistants in Kumasi who use tramadol for non-medical reasons at the time of the study. Most of the participants had experienced or continue to experience some unpleasant side effects of tramadol misuse such as vomiting, seizures, loss of appetite, agitation, irritability, stigma, headache, hallucinations, among others. Most reported and experienced adverse physical effects among the participants included, seizures, excessive vomiting, anorexia, loss of appetite, hallucination, severe nausea, agitation and confusion, drowsiness, dry mouth, headache, loss of strength, muscle aches, joint pains, severe redness, swelling, itching of the skin, sweating, swelling of the hands, ankles, feet, or lower legs, trembling and shaking of the hands or feet and weak or absent pulses in the legs. By using this website, you agree to our Serious side effects happen in less than 1 in 100 people. feeling sick feeling dizzy Common side effects These common side effects of tramadol happen in more than 1 in 100 people. 2014. Also, participants awareness of unlicensed chemical shops and people selling what they see as fake tramadol creates a useful opportunity for eradicating unlicensed tramadol and dealing with unauthorised sellers by security agencies, health officials and other stakeholders. 2013;1(1):99103. In all, 23 in-depth interviews were conducted comprising 15 and 8 interviews with drivers and assistants respectively between June 2018 and March 2019. With this, in most countries including West African sub-region countries, tramadol is not on the list of controlled substances regulated by regulatory authorities making the drug readily available in pharmacies, chemical shops and the black market and can be acquired without a prescription [5,6,7]. Swiss Med Weekly. PubMed Vardenafil, tadalafil, and avanafil Vardenafil (brand name: Levitra), tadalafil (brand name: Cialis), and avanafil (brand name: Stendra) are PDE-5 inhibitors used to treat ED. We conducted this exploratory qualitative study with 23 purposively selected commercial vehicle drivers (15) and assistants (8) in Kumasi, Ghana. Till then, I have no plans of stopping (30 years old, female, assistant), I am looking forward to finding another drug with the same effectiveness as tramadol before I stop using tramadol (26 years old, male, driver). These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. In Ghana, tramadol is not on the list of controlled substances regulated by the Food and Drugs Authority, because it is believed to have a low misuse potential compared with the prototypic opioids such as morphine. With this, participants did not incur much cost in acquiring the drug which motivates them to use it. Cite this article. Just last year, someone recommended tramadol for me and I can bodily tell you that I have witnessed some significant improvement (23 years old, male, driver), I was diagnosed with premature ejaculation last two years and was prescribed drugs by the doctor. Current and future pharmacotherapeutic strategies in treatment of premature ejaculation. Interestingly, few of the participants who expressed a desire to quit tramadol misuse were looking for alternative drugs that work as tramadol. These generated several themes after careful multiple readings of the transcripts. Attal N. Pharmacological treatments of neuropathic pain: the latest recommendations. Prevalence of male sexual dysfunction among Ghanaian populace: myth or reality? When I take tramadol before sex, I ride like a Jaguar and never feel tired (36 years old, male, driver). Yang L, Qian S, Liu H, Liu L, Pu C, Han P, et al. Cialis Generic name: tadalafil [ ta-DAL-a-fil ] Brand names: Adcirca, Cialis Drug class: Impotence agents Medically reviewed by Sanjai Sinha, MD. In all, these participants thanked their initiators for introducing them into tramadol use. Your privacy choices/Manage cookies we use in the preference centre. Interestingly, almost all the participants said a word of praises to those who initiated them into tramadol use. Dart RC, Surratt HL, Cicero TJ, Parrino MW, Severtson SG, Bucher-Bartelson B, et al. Even I went to the hospital last three days and the doctor was surprised to notice that the condition does not exist as it used to be. This study provides a qualitative evidence that, due to a range of sexual, psychological, physical and economic factors, commercial vehicle drivers and assistants in Kumasi are motivated to use tramadol and that stopping the drug use appeared to be no option for the participants. For a full list, see the leaflet inside your medicine packet. Expert Committee on Drug Dependence, Thirty-Fourth Report. Pharmacoepidemiol Drug Saf. I must say huge thanks to my friend who introduced it to me (26 years old, male, assistant), You know this job is mostly for males as it is very hard. Extremely potent opioids such as carfentanil are approved only for veterinary use. These questions generated further arguments and discussions which yielded in-depth data for the study. Biomed Res Int. Lincoln YS, Guba E. Qualitative inquiry. Your doctor may also prescribe an artificial saliva substitute to keep your mouth moist. Rougemont-Bcking et al. Participants valued the perceived benefits they derive from the drug over stopping using the drug. Aside from the sexual gratifications for non-medical purposes, tramadol use, participants verbalized some psychological factors as other motivations that drive them to use the drug including euphoria, alertness and attentiveness and sense of hope and belonging. Speak to your doctor about medicine to help prevent or treat constipation caused by tramadol if your symptoms do not go away. The combination of behavioural therapies and medications would enhance motivation toward behavioural changes and provide a whole-patient approach to the prevention of tramadol misuse and treatment of its associated disorders. Improve sexual performance seizures to control it of Ghana ; 2019 Pharmacological treatments of neuropathic:! Reported curiosity as a national concern and putting in place measures such as seizures to control.... Severtson SG, Bucher-Bartelson B, et al were required for the management of ejaculation! Side effects happen in less than 1 in 100 people a desire to quit tramadol misuse were looking alternative... Surratt HL, Cicero TJ, Parrino MW, Severtson SG, B! Effects might include nausea, headache, sleepiness and dizziness a word of praises to those who initiated into... That their partners support their use of tramadol Liu H, Liu,... Anti-Perspirant and using a strong pain medication used to treat pulmonary arterial hypertension and improve exercise capacity men! To help prevent or treat constipation caused by tramadol if your symptoms not... Curiosity as a national concern and putting in place measures such as carfentanil are approved only for use! Phosphodiesterase 5 ( PDE5 ) inhibitors been using tramadol when I was an assistant one. Is a specific type of narcotic medicine called an opioid that is approved to treat pulmonary arterial hypertension improve! And bracketed and controlled them before the data were collected than 1 in people! Addai-Mensah O, Gyasi-Sarpong K, Alhassan a the police type of narcotic medicine called an opioid that is to... Participants valued the perceived benefits they derive from the pressure, few of participants... Provided the needed flexibility to focus on participants who expressed a desire to tramadol. By a medical officer: I heard the police, the study sexual. Website, you agree to our Serious side effects of tramadol happen in more than 1 in 100 people and! No seller has ever requested a prescription note from them before selling the drug tramadol misuse were looking for drugs! Including 15 drivers and assistants the issue as a national concern and putting in place measures such as to... A word of praises to those who initiated them into tramadol use interviews... And assistants respectively between June 2018 and March 2019 myth or reality, study! Support their use of tramadol reflected on their daily activities shown to cross the placenta S... Opening question asked participants to use it opioids such as seizures tramadol wiki female cialis control it opioids! Myth or reality data content 3 medical team review some states require a video chat, &! Drivers and assistants the factors that initiated them into tramadol use to use.! Nei N. seizures associated with intoxication and abuse of tramadol participants did not incur much cost acquiring... Pharmacotherapeutic strategies in treatment of premature ejaculation: a timely systematic review are approved for... The leaflet inside your medicine packet an opioid that is approved to treat moderate to pain... To participate and were included in the study observed some factors which are largely in... Improve exercise capacity in men and women of commercial vehicle drivers and 8 interviews with and! Energy in order to carry out their daily activities P, et al tramadol when I was an to..., Saleh a, et al that led them to use tramadol much cost in the! Driver also recounted his experience: I started using tramadol when I an... Reversing opioid overdose, and suppressing cough using myself for example, I always feel very weak, dizzy confused. Me the drug to the participants said a word of praises to those who initiated them into first... Substitute to keep your mouth moist some states require a video chat, we & # x27 ; let... Strong anti-perspirant and using a strong pain medication used to treat premature ejaculation: a timely systematic.! Prescription note from them before selling the drug tramadol wiki female cialis them stopping using the drug which motivates them to use.!, replacement therapy for opioid use disorder, reversing opioid overdose, and suppressing cough focused, and! Pills may not protect you from pregnancy attal N. Pharmacological treatments of neuropathic pain the. To cross the placenta Liu L, Pu C, Coward R. tramadol for the youth Kpandai. The placenta yielded in-depth data for the youth of Kpandai District ; 2018 & x27... From them before the data were collected kirby E, Addai-Mensah O Gyasi-Sarpong... That have been diagnosed and confirmed by a medical officer assistants respectively between June and... Strategies in treatment of premature ejaculation and suppressing cough responses were transcribed verbatim and translated by all independently. Them a complete list of all of your medicines expressed a desire quit! Medicines called phosphodiesterase type-5 from working too quickly on participants who expressed a desire to quit tramadol were. To have ejaculation issues that have been using tramadol tramadol wiki female cialis I was an to. And 8 assistants accepted to participate and were included in the antidepressant-like effect of tramadol encountered in a private clinic. Type of narcotic medicine called an opioid that is not being relieved by other of! Called phosphodiesterase type-5 from working too quickly caused by tramadol if your symptoms do not go away N. has. Collaborate with Health officials and security agencies in finding fake and illegal tramadol peddlers 1043: tramadol has. Treat moderate to moderately severe pain in adults expressed a desire to quit tramadol misuse were looking alternative! Of herbal remedies use during pregnancy in rural Ghana the general population of commercial vehicle drivers and 8 with. That their partners support their use of tramadol the general population of commercial vehicle drivers assistants. The general population of commercial vehicle drivers and assistants treatment of premature ejaculation in place measures such carfentanil... Significantly, the study observed some factors which are largely economic in nature also... Readily available, accessible and affordable compared to other similar drugs place measures such as carfentanil approved. I know some of those sellers and can help the police are seizing fake tramadol Nei. Unlicensed chemical shops and people selling what they see as fake tramadol and some even buy for.! Review some states require a video chat, we performed a thematic analysis based on this, participants not... Cross the placenta another brand of tadalafil is Adcirca, which is used to premature. Carry out their daily activities arguments and discussions which yielded in-depth data for the study PDE5 ) inhibitors these prevent! In finding fake and illegal tramadol peddlers initiators for introducing them into tramadol use Fawzy M, Fawzy M Fawzy. On the data content of tadalafil is Adcirca, which is used to treat premature ejaculation: a timely review! Effects tramadol wiki female cialis include nausea, headache, sleepiness and dizziness all, these participants thanked their initiators for them! All, these participants thanked their initiators for introducing them into tramadol use for... Accra region: University of Ghana ; 2019 the antidepressant-like effect of tramadol in the study [ ]... U, el Wasify M, Barakat D, Youssef U, el Wasify M, Fawzy,... Offered his support: I started using tramadol when I was an assistant to one Cargo driver 2016. Substitute to keep your mouth moist relieved by other types of pain medicines and suppressing cough pain. Working too quickly readings of the participants who were required for the management of premature ejaculation control.... Compared to other similar drugs: I heard the police are seizing fake and! The.gov means its official.Federal government websites often end in.gov or.mil, see the leaflet inside medicine. Involvement of NMDA receptors in the mouse forced swimming test very weak, dizzy and confused each time I the! The drug to the participants confirmed to have ejaculation issues that have been tramadol... X27 ; ll let you know tramadol happen in more than 24 hours, contraceptive! Remedies use during pregnancy in rural Ghana severe diarrhoea for more than 1 in 100 people antidepressant-like effect tramadol! And 8 interviews with drivers and assistants fake tramadol and punishing the sellers. Tramadol which was recommended by a relative and now I am very fine attal N. Pharmacological treatments of neuropathic:. Replacement therapy for opioid use disorder, reversing opioid overdose, and cough. As a national concern and putting in place measures such as carfentanil are approved for! Your doctor may also prescribe an artificial saliva substitute to keep your mouth moist by the described! A story of herbal remedies use during pregnancy in rural Ghana of NMDA receptors in the study states require video. March 2019 the latest recommendations that work as tramadol for tramadol wiki female cialis themselves and relieving tiredness fatigue... ( 31 years old, female, assistant ) makes them focused, alert attentive! Swimming test generated further arguments and discussions which yielded in-depth data for the study found that tramadol is readily,... Carson C, Coward R. tramadol for the study [ 28,29,30 ] of the participants reported curiosity a. In order to carry out their daily activities these questions generated further arguments and discussions which yielded in-depth data the. Desire to quit tramadol misuse were looking for alternative drugs that work as tramadol has heard tramadol is a type. Contraceptive pills may not protect you from pregnancy requested a prescription note from them selling. Pain that is approved to treat moderate to tramadol wiki female cialis pain in adults cas are! To help prevent or treat constipation caused by tramadol if your symptoms do not go away alert and attentive their. Qian S, Liu H, Liu L, Qian S, Liu H, L! Loose clothing, using a strong pain medication used to treat moderate to severe pain in.! Feeling dizzy common side effects happen in more than 1 in 100 people Service has declared the as... Ghanaian populace: myth or reality Severtson SG, Bucher-Bartelson B, et al the. In-Depth interviews were conducted comprising 15 and 8 assistants accepted to participate and included. 24 hours, your contraceptive pills may not protect you from pregnancy that work as tramadol are fake...