Tramadol y Amitriptilina a nivel local

Puede usarse (y han sido estudiados) tanto el tramadol como la amitriptilina a nivel local (igual que un anestésico).

https://journals.lww.com/anesthesia-analgesia/Fulltext/2004/11000/The_Postoperative_Analgesic_Effect_of_Tramadol.35.aspx?fbclid=IwAR12K6cFtN_MEZ2YrwPkPnuOaJVxbZpjEH6ULEgqlHZrs09sPY82DK9k8-s

https://www.researchgate.net/publication/6603401_Local_analgesic_efficacy_of_tramadol_following_intraplantar_injection

Guía de prescripción de opioides para dolor crónico CDC

https://jamanetwork.com/journals/jama/fullarticle/2503508?fbclid=IwAR34DmBFQKtsWlznyT0dqKzmakBUfcLv1tVd6Z4saoEdTycSOwwzY6YRyZI#.VuhFYjAewiA.facebook

Combinación de Tramadol con antidepresivos

Review sobre Sindrome Serotoninérgico con esta combinación. «Conclusion: Based upon careful review of the case reports, SS should be viewed as an uncommon and unpredictable possible adverse outcome of combining tramadol with serotonin agonist antidepressants. The reports also suggest that additional caution is needed in elderly patients, when higher doses of either drug are used, and when antidepressants with more potent CYP2D6 inhibitor activity are used. «

https://journals.sagepub.com/doi/abs/10.1177/0897190013504957?fbclid=IwAR1gDd2bbdNqh2uMtUv9p6-bEiSJWjoEcAgqL55A5Fs_-HOb-GWeSI2GYtw&journalCode=jppa

Opioides en dolor crónico no oncológico

http://nationalpaincentre.mcmaster.ca/documents/opioid_guideline_part_b_v5_6.pdf?fbclid=IwAR2cTtbMDIdCFKYXnFyMHuGorOXq0bkaPDy2b9Jxp3nJHZt97EbMll67Iak

Uso racional de opioides

https://www.actasanitaria.com/opio-a-gogo-como-medicamento-inofensivo-salvador-fentanilo-tramadol-y-mas-en-espana/?fbclid=IwAR1YfpvLx2O6GnDVApSZdX9VzsPpSlFnXrz7qNTFbKDWpWu_S6C2vmSWVB4