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Infographic. Tramadol: should it be banned in athletes while competing, particularly in road cycling?
  1. Joao Gabriel Baltazar-Martins1,
  2. María del Mar Plata2,
  3. Jesús Muñoz-Guerra3,
  4. Gloria Muñoz4,
  5. Daniel Carreras4,
  6. Juan Del Coso1
  1. 1Exercise Physiology Laboratory, Universidad Camilo Jose Cela, Villanueva de la Cañada, Spain
  2. 2Department of Education, AEPSAD, Madrid, Spain
  3. 3Jefe de Prevención y control del Dopaje, AEPSAD, Madrid, Spain
  4. 4Doping Control Laboratory, AEPSAD, Madrid, Spain
  1. Correspondence to Dr Juan Del Coso, Exercise Physiology Laboratory, Universidad Camilo Jose Cela, Villanueva de la Cañada 28692, Spain; jdelcoso{at}

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Tramadol is a synthetic opioid widely used for the management of pain in sport setting.1 Tramadol is considered an effective substance to reduce acute and chronic pain because it acts by binding to the μ-opioid receptor to induce analgesia and sedation. However, tramadol also inhibits serotonin and norepinephrine reuptake and thus, it might play a role in the regulation of mood. In the past years, tramadol has caught attention of media and antidoping authorities because this substance might be the subject of abuse in some sports, notably cycling.2 WADA determined that the use of some narcotics are …

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