New challenges in the ongoing opioid crisis: skin bursting from tapentadol

Abstract

Skin popping refers to the practice of injecting illicit drugs subcutaneously or intradermally. Using illicit substances in this way is appealing to some. If the injector isn't cautious or if thrombosis prevents the veins from being accessible, an intravenous injection might accidentally break the skin.[1] India has one of the world's largest markets for opioids. The global trend of confiscated prescription opioids has been steadily increasing over the last decade. Between 2016 and 2020, tramadol was the synthetic opioid that was seized most often. In India, the production and confiscated quantities of tramadol both dropped once it was nationalised. The trafficking of tramadol continues, however, and there are no data on its prevalence. Tramadol, an older opioid, is giving way to tapentadol, a newer opioid, in certain areas.found in It has been noted that tapentadol skin bursting may induce rare cutaneous nodules. In our outpatient clinic, we saw a 30-year-old guy who had been seeing many skin nodules for the last seven months. According to his detailed medical history, he used to inject himself with tapentadol daily. An insulin syringe was used to give a combination of crushed 50 mg Tapentadol pills and distilled water