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Cochrane Analyzes Tramadol for Cancer Pain

Cochrane; 2017 May 16; Wiffen, Derry, Moore

Tramadol may provide pain relief in some adults with cancer pain, according to a recent Cochrane review of 10 studies involving more than 950 individuals. There was no evidence that it relieved such pain in children. Among the findings:

  • There is very low-quality evidence that tramadol is not as effective as morphine.
  • The likelihood that the effect will be substantially different is very high.
  • The place of tramadol in managing cancer pain and its role as step 2 of the WHO analgesic ladder is unclear.

Citation:

Wiffen P, Derry S, Moore R. Tramadol with or without paracetamol (acetaminophen) for cancer pain. Cochrane Database of Systematic Reviews. 2017, Issue 5. Art. No.: CD012508. doi:10.1002/14651858.CD012508.pub2.