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