Advise Watching for Hypoglycemia Right After Starting Tramadol

February 2015

You'll hear that tramadol is associated with severe hypoglycemia.

There seems to be a 3-fold higher risk of hospitalization for hypoglycemia in patients using tramadol compared to those on codeine.

But there's no proof that tramadol is to blame. And the absolute risk is low...less than one in 1000 patients per year taking tramadol.

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Table of Contents

Vaccines Explain Antivirals Don't Help the Flu in Most Patients
Insomnia Don't Suggest More Than 5 mg of Zolpiclone in Seniors
COPD Watch for Mix-Ups Between Spiriva Respimat and Combivent Respimat
Cough & Cold Resist Temptation to Recommend OTC Dextromethorphan or Guaifenesin for Cough
Hepatitis C Advise NOT to Use Ethinyl Estradiol-Containing Contraceptives With Holkira
Blood Pressure Explain Wrist BP Monitors Aren't as Reliable as Arm Monitors
Obesity & Weight Loss Suggest Reducing Insulin Doses if Liraglutide is Used for Weight Loss in Diabete
Med Administration Point Out Some Eye Drops May Be Given Sublingually
Opioids Advise Watching for Hypoglycemia Right After Starting Tramadol
Neurology & Pain Recommend Increasing Power Gradually on OTC TENS Devices
Sickle Cell Disease Suggest a Progestin-Only Contraceptive for Sickle Cell Patients
Menopause Avoid Soy Supplements in Women With Breast Cancer