Problems of Forensic Sciences 2000 Vol. 44 (XLIV) 130-139

COMPLEX INTOXICATION BY TRAMADOL AND TIANEPTINE: A CASE REPORT

Wojciech LECHOWICZ
Institute of Forensic Research, Cracow

Streszczenie
The appearance of a new product on the pharmaceutical market, especially an antidepressant, may lead in the near future to abuse or use in suicide attempts. A case of a complex poisoning of a middle-aged woman with tramadol and tianeptine is described. Tramadol and tianeptine were identified in the examined biological material. Tianeptine is the only drug in the dibenzothiazepine group that has been synthesized up till now. The concentration of tianeptine in whole blood was 12.5 mg/l, in urine 23 mg/l (total) and 3.2 mg/l (free). Tramadol concentrations were: in blood 5.0 mg/l, and in urine 60 mg/l. The presence of both tramadol and tianeptine have been confirmed in liver and stomach tissue.

Słowa kluczowe
Tianeptine; Tramadol; Blood concentrations; Toxicological analysis.

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