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Doctor insights on: Tapentadol Medication

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What is the medication tapentadol used for?

Pain: For moderate to severe pain that has failed to respond to other treatment and for which an opioid is appropriate. ...Read more

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Can you tell me about the medication nucynta (tapentadol) ER 100 mg?

Can you tell me about the medication nucynta (tapentadol) ER 100 mg?

Nucynta (tapentadol) ER: It is the first non-opioid based molecule in the last 20-25 years that has an opioid and nor-epinephrine effect. It is an effective pain medication. ...Read more

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What pain medicine is Nucynta (tapentadol) ER compared to? I was just put on this medication and would like to know little bit about it. I get a little nervous.

What pain medicine is Nucynta (tapentadol) ER compared to? I was just put on this medication and would like to know little bit about it. I get a little nervous.

Talk to your doctor: This is an opioid analgesic similar to morphine. From what I have read, it is safe and effective when taken properly and as prescribed. ...Read more

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I take nucynta (tapentadol) and percocet for pain. I recently failed two drug tests because nothing registered in my urine. I take them every day. How is this poss?

I take nucynta (tapentadol) and percocet for pain. I recently failed two drug tests because nothing registered in my urine. I take them every day. How is this poss?

Get the confirmation: If you are taking your meds as prescribed and your provider is only doing a read-the-cup-in-the-office color-change test, then ask for your samples to be sent to the lab for urine drug screen confirmation. If you have a false-negative and are being threatened with discharge for noncompliance, then ask for the official reading. It's expensive, but you'll get to stay in your program! ...Read more

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What is the max dose of Tapentadol?

What is the max dose of Tapentadol?

Talk to your doctor: The maximum daily dose is between 500mg and 600mg depending upon short acting or long acting formulation. You should talk with your doctor who knows your case about what dose and formulation would be appropriate for you. Ideally the lowest dose necessary to alleviate your pain is the goal. Remember to never drink alcohol while taking this medication and only take your medicine as prescribed. ...Read more

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Is Tapentadol okay for long term use?

Yes: Long term use of any opioid has risks, nucynta is no better or worse than others in that regard. ...Read more

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Is Tapentadol good for all types of pain?

No: No one thing is good for every possible pain. You knew that! ...Read more

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What is the max dose of Tapentadol per day? Still having pain at 100mg per day.

What is the max dose of Tapentadol per day? Still having pain at 100mg per day.

You need an expert: From the series of pain management questions you ask, it seems clear to me that you need to work w/ a pain management expert team. Sometimes a mix of meds and other strategies is needed. Hypnosis, accupunture/pressure, psychotherapy, exercise and diet pgm, etc. The other drugs you take may interfere w/ relief too. Coordinate the effort! ...Read more

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Is nucynta (tapentadol) safe for teen?

Is nucynta (tapentadol) safe for teen?

Sort of: Depends who prescribed it. If a pediatrician or qualified doc specifically gave the medication according to age and weight, then it is likely safe. However, if you're dosing with it by yourself, then no. It's an opiate, a schedule ii, controlled substance. There is abuse potential with prolonged use, and dangers with overdose or improper use. ...Read more

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Is Tapentadol ER safe for long term use?

Is Tapentadol ER safe for long term use?

None are 'safe': Sadly, none of the pain pills are considered really 'safe' for long-term use. This one is intended for acute, not chronic pain. Chronic pain is one of the biggest challenges o earth. It's why you're best served w/ a mix of non-drug therapies in addition to the lowest drug use possible. ...Read more

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Is Tapentadol as strong as Oramorph. (5ml/10mg)?

Is Tapentadol as strong as Oramorph. (5ml/10mg)?

Same receptor: One is a classic opioid (oramorph) another is called an opioid agonist, that works differently than a classic opioid but on the same pain receptor. I am not a fan of evidence based data, and have learned to rely on my own experience. I would some people do better with tapentadol (nucynta), some with classic opioid like oramorph. I would have to say they are potentially as effective as the other ...Read more

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Is Tapentadol 200mg per day considered a high dose?

Tapentadol: This can be taken as a short acting or long acting. 200mg per day is not excessive. ...Read more

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What does tapentadol break do into and and for how long is it detectable in your urine?

What does tapentadol break do into and and for how long is it detectable in your urine?

The metabolites are: N-desmethyltapentadol and hydroxy-tapentadol It has a 4 hour half life and should clear from the urine in from 24 -72 hrs maximum depending on how sensitive the test. ...Read more

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Hello, I have Behcet's Syndrome, and I'm having a very painful flare-up. I'm already on Tapentadol for a severe herniation. What else can I do/take?

Hello, I have Behcet's Syndrome, and I'm having a very painful flare-up. I'm already on Tapentadol for a severe herniation. What else can I do/take?

Behcet's syndrome: First I wish you all the best in overcoming the disease. Second, every case is different, and management of flare ups, is tailored to every case, however besides analgesics, anti-inflammatory agents as corticosteroids are used too. Third, you can't be managed online with such a complex disease, if no center where you live deals with your diagnosis, please seek a rheumatologist help and follow up ...Read more

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I'm on 60mg methadone daily dose and I took a 50 mg tapentadol IR pill because of a big pain I was feeling today. Are there any interactions between th?

I'm on 60mg methadone daily dose and I took a 50 mg tapentadol IR pill because of a big pain I was feeling today. Are there any interactions between th?

Yes: Unless you are following your doctors prescriptions you could have a fatal result mixing methadone with other meds especially Tapentadol another narcotic.
Both cause sedation and respiratory depression.
Please go to ER if need help or call 911. ...Read more

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Is Tapentadol similar to Tramadol! ?

Is Tapentadol similar to Tramadol! ?

No: They are both narcotic pain relievers but otherwise are very different. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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Is Tapentadol an option for chronic pain?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Is Tapentadol an option for chronic pain?

Tapentadol: Short-term use for moderate to severe pain, as prescribed. ...Read more

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Is Tapentadol considered stronger than Tramadol?

Is Tapentadol considered stronger than Tramadol?

Yes, usually: Tapentadol is a strong opioid (narcotic) and a has a compound that reduces the breakdown of norepinephrine,
Tapentadol only binds the mu opioid receptors

Tramadol has less intense opioid action than tapentadol, but it binds a broader spectrum of opioid receptors. It inhibits breakdwon of serotonin.

Tapentadol is 'stronger', for most people. Some people might not respond as well to it. ...Read more

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Will tapentadol cause addiction?

Will tapentadol cause addiction?

Possibly: Tapentadol is a narcotic pain reliever so it has the potential for addiction. however, many people take this class of medication and do not become addicted. If your doctor has suggested or prescribed this medication, discuss your concerns with him/her. ...Read more

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Is Tapentadol okay to take with tramadol?

Is Tapentadol okay to take with tramadol?

Avoid this: There is a substantial chance for more more adverse side effects if you take these together. ...Read more

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Is Tapentadol good for nerve pain aswell?

Is Tapentadol good for nerve pain aswell?

Yes: It can be used to treat many causes of chronic pain but as with any narcotic it comes with considerable risks. ...Read more

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What is nucynta (tapentadol) and is it safe?

What is nucynta (tapentadol) and is it safe?

Nucynta (tapentadol): It is tapentadol. It has dual actions - working on the opioid and the nor-epinephrine receptors. It is very safe provided you do not have any side effects. ...Read more

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Can I have a drink or two on nucynta (tapentadol)?

Can I have a drink or two on nucynta (tapentadol)?

Abstain while in tx: It has been known that there is a warning about dangerous effects mixing tapentadol with alcoholic beverages. I would suggest not to drink alcohol until you complete your treatment. ...Read more

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How long does nucynta (tapentadol) stay in your urine?

How long does nucynta (tapentadol) stay in your urine?

See below: The blood half life (time for half to be eliminated) is 4-5 hours. So it takes 16-20 hours to clear the bloodstream after a dose (4 half lives). I would figure 3-4 days for the drug and its metabolites to clear the urine. ...Read more

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Would Tapentadol be good as a breakthrough pain med?

Would Tapentadol be good as a breakthrough pain med?

Option for patients: The opioids may be indicated in a small subset of patients with chronic benign (nonmalignant) pain that is refractory to all treatment protocols. For more refractory cases, opioids such as sustained release oxycodone is now recommended. ...Read more

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Why does nucynta (tapentadol) not show up on urine tox?

Why does nucynta (tapentadol) not show up on urine tox?

Nucenta: It can if the drug test is designed to test for it. Understand that urine tox come in many "flavors" that test for different things. Chances are your tox test did not test for nucynta (tapentadol).
Dr R ...Read more

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How effective is nucynta (tapentadol) ER 100 mg every 12 hours?

How effective is nucynta (tapentadol) ER 100 mg every 12 hours?

Good effect: Nucynta (tapentadol) er is a good extended release opioid when treating chronic pain. If you are taking this drug or planning to take it for a long time, please be aware of a side effect that do not go away with time- constipation. Start now with a bowel program to minimize problems down the road. Senna with or without a stool softner (colace) is good. ...Read more

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Can you take Tapentadol on the same day as taking Tramadol? (I don't mean at the same time)

Can you take Tapentadol on the same day as taking Tramadol? (I don't mean at the same time)

Ask your prescriber: In general, these two medications have very similar properties in many ways and likely are not intended to be taken at the same time, as you clarified. Taking these two medications on the same day, however, likely is safe to do, but again, you should review your pain treatment program with your prescriber. ...Read more