Tapentadol is an opioid medicine that is used to treat moderate to severe pain.
Tapentadolextended-release form (Nucynta ER)is for around-the-clock treatment of pain that is not controlled by other medicines. This form of tapentadol isnotfor use on an as-needed basis for pain.
Tapentadol may also be used for purposes not listed in this medication guide.
warnings
What is the most important information I should know aboutNucynta ER(Oral)?
You should not use tapentadol if you are allergic to it, or if you have:
- 严重哮喘或呼吸困难;
- a stomach or bowel obstruction (including paralytic ileus); or
- if you have taken an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine.
Tell your doctor if you have ever had:
- breathing problems, sleep apnea (breathing that stops during sleep);
- a head injury, brain tumor, or seizures;
- alcoholism or drug addiction, mental illness;
- urination problems,
- liver or kidney disease; or
- problems with your gallbladder, pancreas, thyroid, or adrenal gland.
If you use opioid medicine while you are pregnant, your baby could become dependent on the drug.This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.
Ask a doctor before using opioid medicine if you are breastfeeding.Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.
Do not give tapentadol to a child.
User Reviews & Rating
Overall rating forNucynta ER(Oral)
Side Effects
What are the side effects ofNucynta ER(Oral)?
Get emergency medical help if you havesigns of an allergic reaction: hives; chest pain, fast heartbeats, difficult breathing; swelling of your face, lips, tongue, or throat.
Opioid medicine can slow or stop your breathing, and death may occur.A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.
马上打电话给你的医生如果你有:
- noisy breathing, sighing, shallow breathing, breathing that stops;
- a light-headed feeling, like you might pass out;
- agitation, feeling hot;
- severe drowsiness or dizziness, confusion, problems with speech or balance;
- a seizure;
- serotonin syndrome--agitation, hallucinations, fever, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, diarrhea; or
- low cortisol levels-- nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.
Serious breathing problems may be more likely in older adults and in those who are debilitated or have wasting syndrome or chronic breathing disorders.
Common side effects may include:
- constipation, nausea, vomiting, stomach pain;
- headache, feeling tired; or
- drowsiness, dizziness.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Pregnancy & Breastfeeding
Can I takeNucynta ER(Oral)if I’m pregnant or breastfeeding?
If you use opioid medicine while you are pregnant, your baby could become dependent on the drug.This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.
Ask a doctor before using opioid medicine if you are breastfeeding.Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.
Interactions
What drugs and food should I avoid while takingNucynta ER(Oral)?
Do not drink alcohol.Dangerous side effects or death could occur.
Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.
Dosage Guidelines & Tips
How to takeNucynta ER(Oral)?
UseNucynta ER(Oral)exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow the directions on your prescription label and read all medication guides.Never use tapentadol in larger amounts, or for longer than prescribed.Tell your doctor if you feel an increased urge to take more of this medicine.
Never share opioid medicine with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH.Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.
Stop taking all other medications that contain tapentadol or tramadol when you start taking tapentadolextended-release tablets.
Take this medicine with a full glass of water at the same times each day, with or without food.
Do not crush, break, or open anextended-releasepill. Swallow it whole to avoid exposure to a potentially fatal dose.
Tapentadol can cause constipation. Talk to your doctor before using a laxative or stool softener to treat or prevent this side effect.
Never crush a pill to inhale the powder or inject it into your vein.This could result in death.
You may have withdrawal symptoms if you stop using tapentadol suddenly.Ask your doctor before stopping the medicine.
Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Do not keep leftover opioid medication.Just one dose can cause death in someone using this medicine accidentally or improperly.Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.
Since tapentadol is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next scheduled dose.Do nottake extra medicine to make up the missed dose.
Do nottake extra medicine to make up a missed dose.Do not take more than your prescribed dose in a 24-hour period.
Overdose Signs
What happens if I overdose onNucynta ER(Oral)?
Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.
Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.
Images
OMJ 150
Color: blue
Shape: oblong
Form: film coated
Imprint: OMJ 150
OMJ 150
Color: blue
Shape: oblong
Imprint: OMJ 150
OMJ 150
Color: green
Shape: oval
Imprint: OMJ 150