title: Fatal overdose of tramadol and alprazolam.
abstract: A 30-year-old woman, with history of depression, was found dead after the ingestion of an unknown quantity of Xanax (alprazolam), Tramal (tramadol) and alcohol. At the autopsy only a slight decomposition and a diffuse visceral congestion were noticed. Biological samples obtained at autopsy were analysed to detect the presence of alprazolam, tramadol and alcohol. Blood concentrations of alprazolam, alcohol and tramadol were 0.21 mg/l, 1.29 g/kg and 38.3 mg/l, respectively.
authors.affiliation: Institut Universitaire de Médecine Légale, Lausanne, Switzerland.
authors.forename: K
authors.initials: K
authors.lastname: Michaud
authors.forename: M
authors.initials: M
authors.lastname: Augsburger
authors.forename: N
authors.initials: N
authors.lastname: Romain
authors.forename: C
authors.initials: C
authors.lastname: Giroud
authors.forename: P
authors.initials: P
authors.lastname: Mangin
mesh_terms: D000328:Adult; D000435:Alcoholic Intoxication / Q000097:blood / Q000175:diagnosis*; D000525:Alprazolam / Q000097:blood / Q000737:chemistry / Q000506:poisoning*; D000701:Analgesics, Opioid / Q000097:blood / Q000737:chemistry / Q000506:poisoning*; D014151:Anti-Anxiety Agents / Q000097:blood / Q000737:chemistry / Q000506:poisoning*; D001344:Autopsy / Q000379:methods*; D002423:Cause of Death; D003863:Depression / Q000188:drug therapy*; D062787:Drug Overdose / Q000097:blood / Q000175:diagnosis; D000431:Ethanol / Q000097:blood; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D015813:Substance Abuse Detection / Q000379:methods; D013405:Suicide; D014147:Tramadol / Q000097:blood / Q000737:chemistry / Q000506:poisoning*
chemical_list: D000701:Analgesics, Opioid; D014151:Anti-Anxiety Agents; D014147:Tramadol; D000431:Ethanol; D000525:Alprazolam