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Published on: 11/27/2025
Which medications should be avoided if Sleep-Related Rhythmic Movement Disorder (RMD) causes risk of injury?
If Sleep-Related Rhythmic Movement Disorder (RMD) poses a risk of injury, it is important to avoid medications like tramadol that may increase the risk of falls or fractures.
Questions about RMD and injury risk?
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When dealing with Sleep-Related Rhythmic Movement Disorder (RMD) that increases the risk of injury, certain medications should be avoided. One such medication is tramadol, which has been associated with a higher risk of hip fractures, especially in older adults. This is important because RMD involves repetitive movements during sleep that could lead to falls or injuries.
Considerations:
- Tramadol: According to Reference 3, tramadol may increase the risk of hip fractures, which is particularly concerning for individuals with RMD who are already at risk of injury due to their sleep movements.
General Advice:
- It is crucial to review all medications with a healthcare provider, especially if there is a risk of injury from RMD. This helps ensure that the benefits of any medication outweigh the risks, particularly for those that may cause drowsiness or impair balance.
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(References)
- Lee J, Singh N, Gray SL, & Makris UE. (2022). Optimizing Medication Use in Older Adults With Rheumatic .... ACR Open Rheumatology, 9746667.
- Standards of Practice Committee, Aurora RN, Zak RS, Maganti RK, Auerbach SH, Casey KR, et al. (2010). Best Practice Guide for the Treatment of REM Sleep Behavior .... Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine, 2823283.
- Wu TY, Wu WT, Lee RP, Chen IH, Yu TC, Wang JH, & Yeh KT. (2023). Tramadol May Increase Risk of Hip Fracture in Older Adults .... Journal of Personalized Medicine, 10141182.
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