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Invited Commentary
February 2015

Tramadol and Hypoglycemia: One More Thing to Worry About

Author Affiliations
  • 1Emergency Medicine, New York University School of Medicine, New York, New York
  • 2General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
JAMA Intern Med. 2015;175(2):194-195. doi:10.1001/jamainternmed.2014.5260
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    1 Comment for this article
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    The other reason for increase use of tramadol
    Mark McConnell, MD | VA
    Those of us in practice for over 20 years have noticed the following:1. A well meaning, misguided effort to make \"pain\" a \"vital sign\"2. Rampant use of oxycontin and gabapentin3. Raising \"pain\" to the level of a diagnosis rather than seeking the cause of pain4. Now, this year, we are no longer to give patients refills of hydrocodoneI agree that all of these pain meds carry risk. But the administrative and clerical and phone time for patients on chronic hydrocodone has increased by a factor of 6 (now we have to write renewals every 28-30 days). I believe this is a factor in the increased use of tramadol.
    CONFLICT OF INTEREST: None Reported
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