Tapentadol is used to treat moderate to severe pain that is expected to last for a short time. Tapentadol is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the body responds to pain.
Tapentadol comes as a tablet to take by mouth. It is usually taken with or without food every 4 to 6 hours as needed. Your doctor may tell you that you may take a second dose as soon as 1 hour after the first dose on your first day of treatment if needed to treat your pain. Do not take extra doses at any other time during your treatment. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tapentadol exactly as directed.
Your doctor will probably start you on a low dose of tapentadol and gradually increase your dose until your pain is controlled. Your doctor may adjust your dose at any time during your treatment if your pain is not controlled. If you feel that your pain is not controlled, call your doctor. Do not change the dose of your medication without talking to your doctor.
Tapentadol should only be used to treat moderate to severe pain. You should not take tapentadol if your pain is mild and can be controlled with other pain medicines.
Tapentadol may be habit forming. Do not take a larger dose, take it more often, or take it for a longer period of time or in a different way than prescribed by your doctor.
Do not stop taking tapentadol without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop taking tapentadol, you may experience withdrawal symptoms such as anxiety; sweating; difficulty falling asleep or staying asleep; shivering; shaking of a part of your body that you cannot control; pain; nausea; diarrhea; runny nose, sneezing, or coughing; hair on your skin standing on end; or hallucinations (seeing things or hearing voices that do not exist).
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with tapentadol. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer's website to obtain the Medication Guide.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Unless your doctor tells you otherwise, continue your normal diet.
This medication is usually taken as needed. If your doctor has told you to take tapentadol regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
loss of appetite
difficulty falling asleep or staying asleep
shaking of a part of the body that you cannot control
pain in the joints
difficulty urinating or pain when urinating
slow, shallow, or difficult breathing
slow or fast heartbeat
cold, clammy skin
feeling faint, dizzy, or confused
difficulty thinking, walking, or talking normally
loss of coordination
Tapentadol may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
Store tapentadol in a safe place so that no one else can take it accidentally or on purpose. Keep track of how many tablets are left so you will know if any are missing.
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
decrease in pupil (dark circle in the eye) size
slow or stopped heartbeat
difficulty breathing or slowed or stopped breathing
loss of consciousness or coma
Keep all appointments with your doctor.
Do not let anyone else take your medication. Selling or giving away this medication may cause severe harm or death to others and is illegal.
This prescription is not refillable. If you continue to have pain after you finish the medication, call your doctor.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Last Revised - 07/01/2010
AHFS® Consumer Medication Information. © Copyright, 2013. The American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.