An examination of motives for tramadol and heroin use in an Egyptian sample

AbdelWahab, Momtaz Ahmed; Magd, Samir F. Abou el; Grella, Christine E.; Enaba, Dalia; Maqsoud, Reham Abdel

doi:10.1080/10550887.2019.1623650

Cited by 17 publications

(13 citation statements)

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“…However, very little data on the positive psychological effects of tramadol issued from self‐declarations of non‐medical users exist in the literature. Two studies reported non‐medical tramadol use to improve functioning (‘to give energy, stay awake’) 30,31 . A single case report also described the stimulant/antidepressant‐like effect with a binge pattern of tramadol use 32 .…”

Section: Discussionmentioning

confidence: 99%

“…Two studies reported non-medical tramadol use to improve functioning ('to give energy, stay awake'). 30,31 A single case report also described the stimulant/antidepressant-like effect with a binge pattern of tramadol use. 32 Due to the polymorphism of CYP2D6 producing the active opioid metabolite of tramadol, an inter-individual variability of monoaminergic and opioid effects of tramadol could occur, as for analgesic effects.…”

Section: Reports Of High-risk Tramadol Use To the French Addictovigil...mentioning

confidence: 99%

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Increase of high‐risk tramadol use and harmful consequences in France from 2013 to 2018: Evidence from the triangulation of addictovigilance data

Roussin

Soeiro

Fouque

et al. 2022

Brit J Clinical Pharma

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The aim of this paper is to assess recent developments in non-medical tramadol use, tramadol use disorder, illegal procurement and deaths. Methods: This study used repeated cross-sectional analysis of data collected nationwide from 2013 to 2018. Analysis was conducted through multisource monitoring of the French Addictovigilance Network of: (1) validated reports of high-risk tramadol use, (2) record systems collecting information from toxicology experts investigating analgesic-related deaths (DTA) and deaths related to substance abuse (DRAMES), and pharmacists for forged prescriptions (OSIAP), and (3) survey of drug users, with investigation of patterns of use while visiting addiction-specialised institutions (OPPIDUM).Results: Despite a plateauing level of tramadol exposure in the French population, the proportion of tramadol reports increased 1.7-fold (187 cases in 2018, 3.2% (95% confidence interval [CI]: 2.74-3.63%), versus 1.9% (95% CI: 1.49-2.42% in 2013).

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Section: Discussionmentioning

confidence: 99%

Section: Reports Of High-risk Tramadol Use To the French Addictovigil...mentioning

confidence: 99%

Increase of high‐risk tramadol use and harmful consequences in France from 2013 to 2018: Evidence from the triangulation of addictovigilance data

Roussin

Soeiro

Fouque

et al. 2022

Brit J Clinical Pharma

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“…21,24,51 -55 For example, one study found that addiction treatment patients tended to misuse tramadol primarily for pleasure-seeking purposes. 56 Other studies have also noted the relative importance of recreation and sensation seeking over self-treatment motives. 57 -59…”

Section: Discussionmentioning

confidence: 99%

Motivations for Misusing Opioids Among African Americans

Rigg,

Kusiak,

Rigg

2024

Substance Use & Addiction Journal

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Background: A wide range of opioid misuse motives have been documented in the literature, including to relieve physical pain, feel good/get high, relax, manage feelings/emotions, sleep, and moderate the effects of other substances. Despite a rise in opioid misuse among African Americans over the last 2 decades, their motivations for misuse remain unclear. Much of the research on opioid misuse motivations either rely on samples with little racial diversity or do not stratify their findings by race. As a result, less is known about the specific reasons why African Americans engage in opioid misuse. The objective of this study, therefore, was to identify and explain the most common motives for misusing opioids among African Americans. Qualitative interview data are also presented to explain/contextualize the most prevalent motivations. Methods: This study used data from the Florida Minority Health Survey, a mixed-methods project that included online surveys (n = 303) and qualitative in-depth interviews (n = 30) of African Americans. Data collection was conducted from August 2021 to February 2022 throughout Southwest Florida. Results: Analyses revealed that while some (33.9%) misused opioids for purposes of recreation/sensation seeking (eg, feel good/get high), the majority (66.1%) were attempting to self-treat perceived medical symptoms (eg, physical pain, anxiety/trauma, withdrawals, insomnia). Conclusions: This study contributes to a better understanding of why some African Americans engage in opioid misuse and findings highlight the need for interventions to be trauma informed and address unmanaged physical pain among African Americans. Given that most studies on motivations are quantitative in nature, the study contributes to the literature by capturing the voices of African Americans who use drugs.

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“…Consistent with the results of this study, Shafiei et al (2014) also showed that unpleasant emotions and physical discomfort were the most important predisposing factors for relapse in substance use addicts. Additionally, an investigation established by AbdelWahab et al (2019) demonstrated that pain avoidance was the most important motivation to continue addictive drug use. The study employed a questionnaire based on the McCabe and Dixon (2000) framework to assess the relapse causes but was consistent with previous findings of pain and unpleasant emotions as key motivators for cessation of substance use.…”

Section: Discussionmentioning

confidence: 99%

A comparison of risk factors for relapse in opiate‐related and stimulant‐related substance use disorders: A cross‐sectional multicenter study

Amini

Long

Varjoshani

et al. 2023

J of Nursing Scholarship

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Introduction Recognizing the specific factors in relapse disorders related to each substance can help improve treatment methods and adopt more effective preventive strategies. This study aimed to compare the situational factors associated with relapse in opiate‐related disorders with stimulant‐related disorders (SRDs) of those referred to substance misuse treatment centers. Design This study was a cross‐section type. Methods The study participants were 150 clients with SRDs and 150 with opiate‐related disorders. Samples were selected using two stages random sampling method. Data were collected through a demographic questionnaire and the Inventory of Drug‐Taking Situations (IDTS). Results The mean score of IDTS in the two groups was significantly different (X̄1 = 45.93 ± 11.12 vs. X̄2 = 48.34 ± 15.07; t = 3.32, p < 0.01). The mean scores of ‘unpleasant emotions,’ ‘physical discomfort,’ ‘conflict with others,’ and ‘social pressure to use and urge/temptations’ subscales were significantly higher in the stimulant group than in the opiate group (p < 0.05). However, the mean of the testing’ personal control’ subscale was higher in the opiate group than in the stimulant group (p < 0.05). Conclusion This study reveals that despite some similarities, relapse‐related situational factors in opiates and stimulants differ. Some situational factors, such as social pressure and coping with unpleasant emotions, play a more critical role in relapse to both stimulant and opiate groups.

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An examination of motives for tramadol and heroin use in an Egyptian sample

Cited by 17 publications

References 50 publications

Increase of high‐risk tramadol use and harmful consequences in France from 2013 to 2018: Evidence from the triangulation of addictovigilance data

Increase of high‐risk tramadol use and harmful consequences in France from 2013 to 2018: Evidence from the triangulation of addictovigilance data

Motivations for Misusing Opioids Among African Americans

A comparison of risk factors for relapse in opiate‐related and stimulant‐related substance use disorders: A cross‐sectional multicenter study

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