Effect of Using Tramadol on Shoulder Dislocation

Background: one of the side effects of tramadol is seizure. tramadol is a synthetic analgesic used to treat mild to moderate pain. tramadol can cause seizures in the range of treatment and toxic doses. this seizure is usually in a generalized tonic-clonic from and usually occurs in the first 24 hours after ingestion. case presentation: the patient was a 32-year-old man referring to the emergency department with a right shoulder joint dislocation. it was reported that after a tonic-clonic seizure for about 1 minute, it has been followed by foaming at the mouth, eye lifting, urinary incontinence and loss of consciousness for about 5 minutes. he used a combination substance of sildenafil and tramadol to treat an early ejaculation. the patient has referred to the hospital 5 times with shoulder dislocation, without providing a detailed explanation about the use of tramadol and subsequent seizures discussion: tramadol misuse and overdose is a common medical issue in iran and around the world. regarding the arbitrary use of tramadol in iran, especially through the non-scientific prescriptions by apothecaries in some cases such as early ejaculation treatment, attention to patient records along with the cause of referral is essential. conclusion: considering the prevalence of tramadol use, the community of physicians is advised to think of tramadol as a common cause for shoulder dislocation.