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The opioid drug tramadol may cause blood sugar to drop to life-threatening levels, research suggests.

Scientists analysed 12million adverse events reports collected by the US Food and Drug Administration (FDA) over 15 years.

The painkiller, marketed as ConZip or Ultram, was found to have a significant risk of hypoglycaemia, which can lead to confusion, seizures or even death.

This could be particularly dangerous for diabetics, warned the scientists from the University of California, San Diego. 

These patients are already at risk of hypoglycaemia due to the blood sugar lowering medication they take. 




The legal opioid tramadol could cause blood sugar to drop to life-threatening levels (stock)

Since tramadol's approval in the US in 1995, it has often been prescribed over other opioids due to its supposed superior safety and lower risk of addiction.

However, compared to virtually every other opioid, tramadol has a 10 times higher risk of hypoglycaemia, the study found.

Other studies have linked tramadol to low blood sugar, but official health bodies do not list it as a recognised side effect.

The NHS lists very common tramadol side effects, affecting more than one in 10, as nausea and dizziness.




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Common side effects, which occur in around one in 100 people, include headaches, vomiting and dry mouth.

Serious side effects are rarer still but include shallow breathing, hallucinations and seizures, officials say.

RxList, the online resource of US prescription medications, also does not mention hypoglycaemia as a tramadol side effect.

To find out more about it's risks, the researchers analysed voluntary reports of side effects from drugs sent to the FDA by patients between January 2004 and March 2019. 

'The impetus was the recent dramatic surge in tramadol popularity and prescription,' study author Dr Tigran Makunts said.

'We wanted to have an objective data-driven look at its adverse effects and bumped into a dangerous, unlisted and unexpected hypoglycaemia.'

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A NSW woman who poisoned her partner with a toxic cocktail of prescription drugs, including morphine, valium and tramadol, has been found guilty of murder for a second time.

Wendie-Sue Dent denied killing her de facto husband David Lawrence at the Adelaide home they shared in December 2015 to claim his $400,000 estate.

She had been named the beneficiary of his $175,000 superannuation fund and also stood to inherit the home valued at $235,000.

Dent was originally convicted by a jury in April 2020, but later had that verdict overturned on appeal.

After a second trial by judge alone, Supreme Court Justice Sophie David on Thursday again found her guilty.

Justice David said prosecutors had argued that Dent told many lies in the days and months following the death of Mr Lawrence, out of a consciousness of guilt to lay a false trail.

Defence counsel said there was no direct evidence that Dent administered the fatal drugs and it remained possible that Mr Lawrence had self-administered for pain relief.

"Notwithstanding defence counsel's arguments, I am satisfied beyond reasonable doubt that Ms Dent administered the prescription drugs to the deceased," the judge said.

"I am satisfied beyond reasonable doubt that this act or acts caused the death of the deceased, that her act or acts causing the deceased's death were without any lawful excuse or justification and that at the time she administered the drugs causing the deceased's death, she had a specific intention to kill him."

Under SA's sentencing laws, Dent will be jailed for life, but submissions in relation to a non-parole period will be heard at a later date.

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