Tramadol Does Not Improve Performance or Impair Motor Function in Trained Cyclists

Med Sci Sports Exerc. 2020 May;52(5):1169-1175. doi: 10.1249/MSS.0000000000002217.

Abstract

Purpose: To investigate the hypothesis that a therapeutic oral dose of Tramadol improves cycling time trial performance and compromises motor-cognitive performance in highly trained cyclists.

Methods: Following two familiarization trials, 16 highly trained cyclists completed a preloaded time trial (1 h at 60% of peak power followed by a 15-km time trial) after ingestion of 100 mg Tramadol or placebo in a double-blind placebo-controlled counterbalanced crossover design separated by at least 4 d washout. Visuomotor tracking and math tasks were completed during the preload (n = 10) to evaluate effects on cognition and fine motor performance.

Results: Time trial mean power output (298 ± 42 W vs 294 ± 44 W) and performance (1474 ± 77 s vs 1483 ± 85 s) were similar with Tramadol and placebo treatment, respectively. In addition, there were no differences in perceived exertion, reported pain, blood pH, lactate, or bicarbonate concentrations across trials. Heart rate was higher (P < 0.001) during the Tramadol time trial (171 ± 8 bpm) compared with placebo (167 ± 9 bpm). None of the combined motor-cognitive tasks were impaired by Tramadol ingestion, in fact fine motor performance was slightly improved (P < 0.05) in the Tramadol trial compared with placebo.

Conclusions: In highly trained cyclists, ingestion of 100 mg Tramadol does not improve performance in a 15-km cycling time trial that was completed after a 1-h preload at 60% peak power. Additionally, a therapeutic dose of Tramadol does not compromise complex motor-cognitive or simple fine motor performances.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adult
  • Analgesics, Opioid / administration & dosage*
  • Analgesics, Opioid / adverse effects
  • Analgesics, Opioid / urine
  • Athletic Performance / physiology*
  • Bicycling / physiology*
  • Cognition / drug effects*
  • Cross-Over Studies
  • Double-Blind Method
  • Heart Rate / drug effects
  • Humans
  • Male
  • Motor Skills / drug effects*
  • Nausea / chemically induced
  • Task Performance and Analysis
  • Tramadol / administration & dosage*
  • Tramadol / adverse effects
  • Tramadol / urine
  • Vomiting / chemically induced
  • Young Adult

Substances

  • Analgesics, Opioid
  • Tramadol