The National Health Service has issued a crucial warning regarding the long-term use of the potent painkiller tramadol, highlighting a significant side effect that can paradoxically increase a patient's sensitivity to pain.
Understanding Tramadol and Its Uses
Tramadol is a powerful opiate-based medication frequently prescribed by doctors across the UK to manage moderate to severe pain. This can include discomfort following an injury or a surgical operation. It is considered a strong option when other, less potent pain relief methods have proven ineffective.
The drug is most commonly administered in the form of tablets or capsules. However, in hospital settings, it can also be given as a liquid or via injection. For some patients dealing with chronic health conditions, long-term use of tramadol becomes a necessary part of daily life to control persistent pain.
Key Risks of Prolonged Tramadol Use
While effective for pain management, the NHS stresses that extended use of tramadol carries several serious risks that patients and doctors must monitor.
Hyperalgesia: Increased Pain Sensitivity
A primary concern is a condition known as hyperalgesia. This side effect causes the body to become more sensitive to pain stimuli, meaning that ordinary pain can feel significantly more severe and intense than it should. If a patient develops hyperalgesia, their GP will likely need to gradually reduce the tramadol dosage to help alleviate these symptoms.
Building Tolerance and Risk of Addiction
Another common issue with long-term use is that the body can build up a tolerance to the drug. This means that over time, a patient may find they need a higher dose to achieve the same level of pain relief they initially experienced.
Furthermore, as an opiate, tramadol carries a recognised risk of addiction, particularly when used over long durations. Signs of addiction can include difficulty stopping the medication or using it more frequently than prescribed.
Stopping tramadol abruptly can also lead to withdrawal symptoms, such as anxiety and restlessness. If these occur, it is vital to consult a GP, who can reassess the treatment plan and ensure the patient is on the minimal effective dose required to manage their pain.
For comprehensive details on all potential side effects, the NHS recommends visiting its official website.
