A case of musical hallucinations induced by tramadol

Abstract Aim Although tramadol has been suggested to have a higher risk of producing hallucinations than other opioids, reports of musical hallucinations are extremely rare. Case Presentation A 72‐year‐old woman came to our department complaining of auditory hallucinations. She had been diagnosed wi...

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Main Authors: Tatsu Hase, Norio Yasui‐Furukori, Shigeki Yamaguchi, Kazutaka Shimoda
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Neuropsychopharmacology Reports
Subjects:
Online Access:https://doi.org/10.1002/npr2.12320
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author Tatsu Hase
Norio Yasui‐Furukori
Shigeki Yamaguchi
Kazutaka Shimoda
author_facet Tatsu Hase
Norio Yasui‐Furukori
Shigeki Yamaguchi
Kazutaka Shimoda
author_sort Tatsu Hase
collection DOAJ
description Abstract Aim Although tramadol has been suggested to have a higher risk of producing hallucinations than other opioids, reports of musical hallucinations are extremely rare. Case Presentation A 72‐year‐old woman came to our department complaining of auditory hallucinations. She had been diagnosed with lumbar spinal canal stenosis associated with herniated and slipped disks. Due to persistent back pain, tramadol was started, and the dose was increased to 300 mg/day. The next day, she began to hear nursery rhymes, songs of the Ministry of Education, and folk songs. The musical auditory hallucinations disappeared with the use of antipsychotics and the discontinuation of tramadol. No relapse of musical auditory hallucinations was observed after the discontinuation of antipsychotics. Conclusion Based on the clinical course, we concluded that the auditory hallucinations were musical hallucinations induced by tramadol.
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spelling doaj.art-e0071b85673945f6848e4915b46076722023-03-13T06:33:30ZengWileyNeuropsychopharmacology Reports2574-173X2023-03-0143116016210.1002/npr2.12320A case of musical hallucinations induced by tramadolTatsu Hase0Norio Yasui‐Furukori1Shigeki Yamaguchi2Kazutaka Shimoda3Department of Psychiatry Dokkyo Medical University School of Medicine Tochigi JapanDepartment of Psychiatry Dokkyo Medical University School of Medicine Tochigi JapanDepartment of Anesthesia and Pain Medicine Dokkyo Medical University School of Medicine Tochigi JapanDepartment of Psychiatry Dokkyo Medical University School of Medicine Tochigi JapanAbstract Aim Although tramadol has been suggested to have a higher risk of producing hallucinations than other opioids, reports of musical hallucinations are extremely rare. Case Presentation A 72‐year‐old woman came to our department complaining of auditory hallucinations. She had been diagnosed with lumbar spinal canal stenosis associated with herniated and slipped disks. Due to persistent back pain, tramadol was started, and the dose was increased to 300 mg/day. The next day, she began to hear nursery rhymes, songs of the Ministry of Education, and folk songs. The musical auditory hallucinations disappeared with the use of antipsychotics and the discontinuation of tramadol. No relapse of musical auditory hallucinations was observed after the discontinuation of antipsychotics. Conclusion Based on the clinical course, we concluded that the auditory hallucinations were musical hallucinations induced by tramadol.https://doi.org/10.1002/npr2.12320hallucinationsmusicopioidstramadol
spellingShingle Tatsu Hase
Norio Yasui‐Furukori
Shigeki Yamaguchi
Kazutaka Shimoda
A case of musical hallucinations induced by tramadol
Neuropsychopharmacology Reports
hallucinations
music
opioids
tramadol
title A case of musical hallucinations induced by tramadol
title_full A case of musical hallucinations induced by tramadol
title_fullStr A case of musical hallucinations induced by tramadol
title_full_unstemmed A case of musical hallucinations induced by tramadol
title_short A case of musical hallucinations induced by tramadol
title_sort case of musical hallucinations induced by tramadol
topic hallucinations
music
opioids
tramadol
url https://doi.org/10.1002/npr2.12320
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