Tramadol – did the doctor really know best?

I was given Tramadol in hospital to relive pain after a left knee arthroscopy. About an hour later, the physiotherapist had to help me back into bed. My temperature had rocketed and I felt about to keel over during her demonstration of how to ascend and descend stairs with a walking stick. She was assisted in her efforts by the ward sister, who left me with the words “if they ever ask if you’re allergic to any painkillers – say Tramadol, it doesn’t agree with you”. Well, my knees are both the same age, and this August it was the turn of my right knee to have its cartlidge tidied-up, as the doctor put it – making it sound more like something you’d do in a garden, rather than in an operating theatre under general anaesthetic. There then followed the painkiller allergy/intolerance question, to which I mentioned the Tramadol incident. “Oh, I don’t think it could have been Tramadol. After all, you’d also been on morphine. And it was an hour after you’d been given it before you had the problem” was his response – to which I replied that I didn’t want to risk a repeat performance; I was also mindful that I was being sent home as soon as I came round from the anaesthetic, and didn’t want to have an adverse reaction when I got home, leaving my wife and sons to have to deal with the immediate consequences of what the medics quaintly call a ‘contraindication’. Funnily enough, the question reared its head when I was in the hands of the anaesthetist and his two theatre nursing assistants as they prepared me for surgery. One nurse backed me to the hilt – she’d also had an adverse reaction to Tramadol and told me to stick to Co-codamol. That was just before the general anaesthetic took effect.