TITLE:
Psychophysiological Reactions Related to Intoxication after Use of “Kadhafi” in a Case Received for Psychiatric Care in Abidjan
AUTHORS:
Dion Aristide Gonce, Affibè Woria Amichia, Bla Désirée Sandrine Ziketo, Yedjoutchari Diane Sekongo, Apolinaire N’Guettia, Etobo Innocent Ahounou, Brahim Samuel Traoré, Issaka Tiembre, Asséman Médard Koua, Yessonguilana Jean Marie Yeo-Ténena
KEYWORDS:
Adolescent, Illegal Tramadol, Poisoning, Glossoptosis, Macroglossia, Ivory Coast
JOURNAL NAME:
Open Journal of Psychiatry,
Vol.15 No.6,
December
18,
2025
ABSTRACT: Background: The misuse of opiates is rapidly increasing, particularly among adolescents and young adults, with serious consequences for mental and physical health and social life. This descriptive case study addresses the physiological and psychological reactions associated with the use of Tramadol, in an illicit form locally known as “Kadhafi.” Methods: The study was conducted at the Addiction and Mental Health Service (SAHM) in Abidjan from 1 to 27 July 2025. A case description was produced based on clinical observations and toxicological urine tests. Results: The results reveal a 19-year-old student who presented with an increase in tongue volume (macroglossia) with protrusion, and glossoptosis associated with dizziness, headaches, insomnia, and anxiety, approximately one hour after taking a 250 mg tablet of illicit tramadol with alcohol. Conclusion: This clinical case highlights acute opioid intoxication linked to the consumption of Tramadol in an illicit form, also known as “Kadhafi.”