Brief Answer:
Are you sure that the pulmonary embolism has no other causes?

Detailed Answer:
Thanks for asking on Health Care Magic.

Tramadol is an opioid analgesic or central nervous system depressant associated with physical dependence and may give rise to drowsiness or sedation. Therefore feeling of tiredness is not unlikely.
About Pulmonary Embolism, I do not find a correlation. It can be a concurrent factor rather than being linked as a cause-effect relationship.

Hope that helps.

Regards
Dr. Kunal Saha

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Brief Answer:
The risk factors for pulmonary embolism already seem to be present

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond back earlier.

Let me mention a simple thing. What stroke is for the brain, is same as pulmonary embolism for brain. In either case, a small particulate matter (embolus) gets struck in a small vessel and thereby clogs it and blocks the blood flow to the portions further on route. We have two parallel circulations going on in our body. The right circulation is to the lungs and back; the left circulation is to the different parts of the body and back. So, the person having risk factors for stroke definitely can be susceptible to pulmonary embolism as well.

Moreover, in case of the other associated factors that you have mentioned, it is not unlikely for some small fat globule or something else to get dislodged from somewhere and be responsible for the pulmonary embolism.

I do not link it to tramadol.

Hope that helps.

Regards
Dr. Kunal Saha

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