Table of Contents > Drug > Tapentadol Print

Tapentadol

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Nucyntaź;Nucyntaź ER
    • Brand Names: Canada: Nucyntaź IR;NucyntaT CR

    Uses
    • It is used to ease pain.
    • Tapentadol lowers the feeling of pain and how one reacts to pain.

    Dosing

    How to take

    • Do not take this drug with other strong pain drugs or if you are using a pain patch without talking to your doctor first.
    • Take with or without food. Take with food if it causes an upset stomach.
    • Long-acting tablet: Swallow it whole. Do not chew, break, or crush it.
    • Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.
    • Keep a pain diary.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.

    Storage

    • Store at room temperature.
    • Protect from water. Do not store in a bathroom or kitchen.
    • Throw away any unused drug by flushing down a toilet or sink.

    Safety



    Warnings

    • This drug may cause trouble breathing. Call your doctor right away if you have slow breathing, shallow breathing, or trouble breathing.
    • Nucyntaź ER is used to treat lasting, long-term pain. It is not for mild pain or pain that comes and goes. Swallow tablets whole. Do not chew, break, or crush. Very bad effects may happen if you take or inject broken, chewed, or crushed tablets. Keep away from children, can cause deadly overdose.
    • Do not take with beer, wine, mixed drinks, or products that have alcohol. Unsafe effects may happen.
    • You will be watched closely to make sure you do not misuse, abuse, or become addicted to this drug.
    • Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.
    • Please read the medication guide.

    Avoid

    • If you have an allergy to tapentadol or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have any of these health problems: Very bad lung disease or a slow-moving GI (gastrointestinal) tract.
    • If you have taken isocarboxazid, phenelzine, or tranylcypromine in the last 14 days. Monoamine oxidase inhibitors (eg, isocarboxazid, phenelzine, and tranylcypromine) must be stopped 14 days before this drug is started. Taking both at the same time could cause risky high blood pressure.

    Precautions

    • This drug may be habit-forming with long-term use.
    • If you have been taking this drug for many weeks, talk with your doctor before stopping. You may want to slowly stop this drug.
    • If you have a history of a drug or drinking problem, talk with your doctor.
    • If you have gallbladder disease, talk with your doctor.
    • If you have a history of head injury, talk with your doctor.
    • If you have kidney disease, talk with your doctor.
    • If you have liver disease, talk with your doctor.
    • If you have lung disease, talk with your doctor.
    • If you have seizures, talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Avoid drugs and natural products that slow your actions. These include sedatives, tranquilizers, drugs for mood, antihistamines, and other pain drugs.
    • Avoid beer, wine, or mixed drinks.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing.
    • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you.
    • Headache.
    • Itching.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Hard stools (constipation). Drinking more liquids, working out, or adding fiber to your diet may help. Talk with your doctor about a stool softener or laxative.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Very bad dizziness or passing out.
    • Trouble breathing.
    • Change in thinking clearly and with logic.
    • Big change in balance.
    • Agitation, twitching, sweating, or muscle stiffness.
    • Poor pain control.
    • Seizures.
    • Very upset stomach or throwing up.
    • Very hard stools (constipation).
    • Feeling very tired or weak.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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