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Therefore, this study leethal to explore the presentation and complications of tramadol overdose in patients admitted to an intoxication referral center in northwestern Iran. For each patient, the following data were collected: demographics, drug or medication overdose, whether the patient was in the process of quitting drug use, ingested dose of tramadol and co-ingestants, Glasgow Coma Scale GCS score, clinical symptoms at the time of admission, and admission characteristics. Serotonin toxicity was diagnosed in patients who fit the Hunter criteria. Multiple logistic oethal was performed to identify variables associated with the incidence of severe complications of tramadol overdose. In total, cases of tramadol overdose were evaluated, of which patients were included, with a median age of 41 years range, lfthal a median tramadol dose of 1, mg range, ,
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