> If there is a precursor to an American-style opioid epidemic in India, it is tramadol, a painkiller that became available here in the early 1990s. Drugmakers — often citing studies they had funded — touted tramadol as less addictive than other painkillers.<p>> “Tramadol information would come to every single clinician,” said Dr. Bobby John, a Delhi-based health expert. “Why? Because there is some drug salesperson sitting outside your door saying, ‘Hey, there’s a new drug. It’s non-addictive.’ Standard playbook.”<p>It's really important that people have easy access to opioids at the end of their life.<p>Tramadol is a terrible medication and is almost always the wrong choice of med.<p><a href="https://emcrit.org/toxhound/tramadont/" rel="nofollow">https://emcrit.org/toxhound/tramadont/</a>