Tramadol Use disorder following menstrual pain and successfully managed with methadone: A case report from Tanzania

Mbughi, Aliko Asangalwisye and Noah, Victor Steven and Nyeme, Themistocles Laurence and Gembe, Adam Miraj (2025) Tramadol Use disorder following menstrual pain and successfully managed with methadone: A case report from Tanzania. International Journal of Science and Research Archive, 16 (1). pp. 1200-1203. ISSN 2582-8185

Tramadol is a centrally acting analgesic which is easily available and widely prescribed for pain hence subjected for misuse, dependence and addiction. This case report presents a 32-year-old Tanzanian female who developed tramadol use disorder following prolonged self-medication for primary dysmenorrhea over past 12 years. She progressed from intermittent use to daily dependence on high doses of tramadol, culminating in significant socio-occupational dysfunction. She was successfully managed with methadone maintenance therapy, highlighting the need for awareness, early intervention, and access to opioid substitution therapy.