Tapentadol

BreastfeedingGeriatricPediatric
  • TRADE NAMES: Nucynta (Janssen); Nucynta ER (Janssen); Palexia (Grunenthal)
  • INDICATIONS: Immediate release formulation: moderate to severe acute pain; extended release formulation: moderate to severe chronic pain and neuropathic pain associated with diabetic peripheral neuropathy when a continuous analgesic is needed for an extended period of time
  • CLASS: Analgesic; opioid
  • HALF-LIFE: 5 hours
CLINICALLY IMPORTANT, POTENTIALLY HAZARDOUS INTERACTIONS WITH:

Alcohol, Alvimopan, Amphetamines, Anesthestics, Anitemetics, Anticholinergics, Buprenorphine, Butorphanol, CNS depressants, Desmopressin, Droperidol, Hypnotics, Linezolid, MAO inhibitors, Mirtazapine, Nalbuphine, PEG-Interferon, Pegvisomant, Pentazocine, Phenothiazines, Sedatives, Sibutramine, SNRIs, SSRIs, St John's Wort, Succinylcholine, Thiazide diuretics, Tramadol, Tranquilizers, Trazodone, Tricyclic antidepressants, Triptans

PREGNANCY CATEGORY: C

NOTE

Contra-indicated in patients with impaired pulmonary function or paralytic ileus. Should not be used in patients currently using or within 14 days of using a monoamine oxidase inhibitor.

BLACK BOX WARNING
For extended release oral tablets: ABUSE POTENTIAL, LIFE-THREATENING RESPIRATORY DEPRESSION, ACCIDENTAL EXPOSURE, and INTERACTION WITH ALCOHOL

See full prescribing information for complete boxed warning.

Our database has 17 adverse reactions for this drug across the following areas

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MUCOSAL.
CARDIOVASCULAR.
CENTRAL NERVOUS SYSTEM.
GASTROINTESTINAL/HEPATIC.
NEUROMUSCULAR/SKELETAL.
RESPIRATORY.
OTHER.


Page last updated 07/31/2023

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Incidence info

  • <1%
  • 1-5%
  • 5-10%
  • 10-15%
  • 15-20%
  • 20-30%
  • >30%

Seriousness info

  • Hospitalization possible
  • Life threatening
  • Fatal

Warnings in other populations info

  • Breast feeding
  • Geriatric
  • Pediatric
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