There is some evidence which suggests that the use of Irish stick weapons may have evolved in a progression from a reliance on long spears and wattles, to shorter spears and wattles, to the shillelagh, alpeen, blackthorn (walking-stick) and short cudgel.
Moreover, most of the associated drugs fatalities including tramadol have been reported with other central nervous system (CNS) depressants, particularly benzodiazepine [9], [10], [11], [13] and [14]. In certain cases, benzodiazepine levels were in the therapeutic range or slightly higher.
Tramadol is an opioid pain reliever which is helpful in some patients with fibromyalgia but should be used with caution as sometimes the use of opioids can worsen the pain cycle in fibromyalgia. Memantine is a medication commonly used for dementia.