tramadol-induced mania: a case report

This case report describes a rare occurrence of tramadol misuse resulting in a manic episode in a patient without a history of psychiatric disorders. the patient had used tramadol off-label for premature ejaculation. following discontinuation of tramadol and initiation of mood stabilizer treatment, the manic symptoms resolved. tramadol, despite its potential antidepressant properties, also poses a risk of inducing psychiatric disturbances. diagnosis can be challenging and necessitates a thorough examination.management involves immediate cessation of tramadol and administration of mood stabilizers. clinicians should exercise caution and closely monitor patients when prescribing tramadol, particularly for off-label indications.