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Clinically significant drug-drug interactions between tramadol and CYP3A4 inhibitors: disproportionality analysis in VigiBase® and hypothesis on the underlying mechanism

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References

  1. Miotto K, Cho AK, Khalil MA, Blanco K, Sasaki JD, Rawson R (2017) Trends in tramadol: pharmacology, metabolism, and misuse. Anesth Analg 124:44–51. https://doi.org/10.1213/ANE.0000000000001683

    Article  CAS  PubMed  Google Scholar 

  2. Perez Jimenez TE, Kukanich B, Joo H et al (2019) Oral coadministration of fluconazole with tramadol markedly increases plasma and urine concentrations of tramadol and the O – desmethyltramadol metabolite in healthy dogs. Drug Metab Dispos 47:15–25. https://doi.org/10.1124/dmd.118.083444

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Stahl SM (2016) Parkinson’s disease psychosis as a serotonin – dopamine imbalance syndrome. CNS Spectr 21:355–359. https://doi.org/10.1017/S1092852916000602

    Article  PubMed  Google Scholar 

  4. Smith HS, Laufer A (2014) Opioid induced nausea and vomiting. Eur J Pharmacol 722:67–78. https://doi.org/10.1016/j.ejphar.2013.09.074

    Article  CAS  PubMed  Google Scholar 

  5. Rickli A, Liakoni E, Hoener MC, Liechti ME (2018) Opioid-induced inhibition of the human 5-HT and noradrenaline transporters in vitro: link to clinical reports of serotonin syndrome. Br J Pharmacol 175:532–543. https://doi.org/10.1111/bph.14105

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Kovács G, Péter L (2010) Complex hallucination (visual – auditory) during coadministration of tramadol and clarithromycin. Neuropsychopharmacologia Hungarica: a Magyar Pszichofarmakologiai Egyesulet lapja= official journal of the Hungarian association of. Psychopharmacology 12:309–312

    Google Scholar 

  7. Pellegrino P, Carnovale C, Borsadoli C, Danini T, Speziali A, Perrone V, Antoniazzi S, Pozzi M, Clementi E, Radice S (2013) Two cases of hallucination in elderly patients due to a probable interaction between flu immunization and tramadol. Eur J Clin Pharmacol 69:1615–1616

    Article  Google Scholar 

  8. Kirchheiner J, Keulen J-TH, Bauer S et al (2008) Effects of the CYP2D6 gene duplication on the pharmacokinetics and pharmacodynamics of tramadol. J Clin Psychopharmacol 28:78–83

    Article  CAS  Google Scholar 

  9. Lai J, Ma S, Porreca F, Raffa RB (1996) Tramadol. M1 metabolite and enantiomer affinities for cloned human opioid receptors expressed in transfected HN9. 10 neuroblastoma cells. Eur J Pharmacol 316:369–372

    Article  CAS  Google Scholar 

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Correspondence to Basile Chrétien.

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Delafoy, C., Dolladille, C., Besnier, P. et al. Clinically significant drug-drug interactions between tramadol and CYP3A4 inhibitors: disproportionality analysis in VigiBase® and hypothesis on the underlying mechanism. Eur J Clin Pharmacol 76, 1049–1051 (2020). https://doi.org/10.1007/s00228-020-02881-5

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