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|Title||Assessment of Tramadol Abuse among Clients Who are Attending Private Psychiatric Clinics –KAP Study|
Tramadol hydrochloride is centrally acting analgesic. It is used for the management of moderate to severe pain. There are increasing concerns worldwide regarding the addiction potential of tramadol. The overall aim of this study is to assess the abuse of tramadol among clients who attend private psychiatric clinics, by assessing the level of knowledge, attitude, and practice. The study also evaluated the psychological status, and the presence of side effects related to abuse of tramadol. The design of the study is a descriptive, analytical cross sectional one. 100 clients were selected from two private psychiatric clinics in Gaza city over one month by taking 4 clients every day, the response rate was 83.3. The questionnaire was developed to reflect the study domains. Data were collected utilizing the self-administered questionnaire approach and the reliability coefficient (Cronbach’s Alpha was high 0.8633 the result ensures the reliability of the questionnaire). The results of this study showed that 84% of the sample was male and 14% was female. They started with 100 mg tramadol capsule daily and increased the dose progressively with time until they ended up with around 1800 mg daily, which is four times the therapeutic maximum daily dose (400-600 mg daily). This study showed that there is clear awareness among the tramadol abusers toward the size of problem as 96.4% of the sample believe that the abuse of tramadol is problem in Gaza strip, and 94.4% ensured that abuse of tramadol caused addiction. This study showed strong association between smoking and tramadol abuse as around 80% of our sample was smokers. There were various motivations for tramadol abuse but the most two common causes were to get euphoria 92.4% and to help them to delay ejaculation 79.4%. The insistent efforts to secure the drug led around two thirty (63.4%) of the sample to do illegal action to get the drug. Around 76.24% of the sample complained of psychological problem . Around 90% of the sample complain of withdrawal symptoms. Among the various side effects convulsion was represented by 71.8% of the sample. There is a significant difference at α ≤ 0.05 among the respondents' answers due to profession .
|Publisher||الجامعة الإسلامية - غزة|
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