Tapenax ER 50 Tablet 15's

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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

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Whats That

About Tapenax ER 50 Tablet

Tapenax ER 50 Tablet is an opioid painkiller used to alleviate moderate to severe pain. Pain is an unpleasant sensory and expressive experience caused by real or potential tissue injury.

Tapenax ER 50 Tablet composed of Tapentadol; it acts directly on opioid receptors in the central nervous system, reducing feelings of pain by interfering with the way neurons convey pain between the brain and the body.

Tapenax ER 50 Tablet should be taken only if prescribed by the doctor. The possible common side effects of Tapenax ER 50 Tablet are constipation, nausea, sleepiness, vomiting, tiredness, headache, dizziness, and abdominal pain. Report to your healthcare provider if any of these symptoms persist or worsen.

Inform your doctor if you are allergic to any content of this medicine before taking Tapenax ER 50 Tablet . If you have asthma or breathing problems, gastrointestinal obstruction, and paralysis of the gut or ileus, please let your doctor know before prescribing Tapenax ER 50 Tablet to you. Inform your doctor if you are experiencing acute poisoning from alcohol, sleeping pills, pain relievers, or other psychotropic medications. If you are pregnant, planning for pregnancy or breastfeeding, consult your doctor before taking this medicine. Do not discontinue Tapenax ER 50 Tablet without first consulting your doctor, and your doctor may gradually reduce the dose to avoid withdrawal symptoms.

Uses of Tapenax ER 50 Tablet

Pain

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Tapenax ER 50 Tablet is a strong painkiller that belongs to the class of opioids and is used for treating moderate to severe pain. Tapenax ER 50 Tablet acts directly on opioid receptors in the central nervous system, reducing feelings of pain by interfering with the way neurons convey pain between the brain and the body. Thus, it relieves the pain that occurs due to various medical conditions.

Storage

Keep this medicine out of the sight and reach of children. Properly dispose when no longer in need.

Side effects of Tapenax ER 50 Tablet

Nausea

Overcome Medication-Induced Nausea: A 9-Step Plan

Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
Divide your daily food intake into smaller, more frequent meals to reduce nausea.
Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
Use ginger (tea, ale, or candies) to help relieve nausea.
Get adequate rest and also avoid strenuous activities that can worsen nausea.
Talk to your doctor about taking anti-nausea medication if your nausea is severe.
Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Vomiting

To prevent, manage, and treat Constipation caused by medication usage, follow these steps:

Preventing Vomiting (Before it Happens)
Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
Having a small meal before taking your medication can help reduce nausea and vomiting.
Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
Managing Vomiting (If it Happens)
Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
What to Do if Vomiting Persists
Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Constipation

Here are the steps to cope with constipation as a side effect of medication:

Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Dry Mouth

Here are the steps to Dry Mouth (xerostomia) caused by medication:

Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.

Indigestion

Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:

Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.

Fatigue

Rest well; get enough sleep.
Eat a balanced diet and drink enough water.
Manage stress with yoga and meditation.
Limit alcohol and caffeine.
Physical activities like walking or jogging might help boost energy and make you feel less tired.

Feeling Hot

Wear loose-fitting clothes and breathable fabrics.
Keep your room cool by using a fan or AC.
Avoid or limit spicy food, alcohol and caffeine as they can trigger hot flashes.
Manage stress by practising relaxation techniques with yoga and meditation.
Quit smoking.
Maintain a healthy weight by including fruits and vegetables in your diet.

Drug Warnings

If you are hypersensitive or allergic to any of the ingredients in Tapenax ER 50 Tablet , do not take it. Please do not stop taking Tapenax ER 50 Tablet without first consulting your doctor, as this may result in withdrawal symptoms. If you are pregnant or nursing, do not take the Tapenax ER 50 Tablet unless your doctor has recommended it. Tapenax ER 50 Tablet may cause drowsiness and blurred vision; therefore, drive only if you are awake. Tapenax ER 50 Tablet is not recommended for children because its safety and effectiveness have not been proven. Drinking alcohol while taking Tapenax ER 50 Tablet may cause drowsiness and fatigue. If you are having suicidal thoughts, consult a doctor right away.

Drug-Drug Interactions

TapentadolIsocarboxazid

Critical

TapentadolSafinamide

Critical

Drug-Drug Interactions

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TapentadolIsocarboxazid

Critical

How does the drug interact with Tapenax ER 50 Tablet:
Using Tapenax ER 50 Tablet together with Isocarboxazid can increase the risk or severity of side effects like decreased breathing rate, irregular heart rhythms, or problems with movement and memory.

How to manage the interaction:
Taking Isocarboxazid with Tapenax ER 50 Tablet is generally avoided as it can result in an interaction, it can be taken when advised by a doctor. If you experience confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, blurred vision, muscle spasm or stiffness, tremors, stomach cramps, nausea, vomiting, and diarrhea call a doctor right away.

TapentadolSafinamide

Critical

How does the drug interact with Tapenax ER 50 Tablet:
Using Tapenax ER 50 Tablet together with Safinamide can increase the risk of high blood pressure and serotonin syndrome (A condition resulting from the accumulation of high levels of serotonin in the body. Serotonin is especially a mood stabilizer).

How to manage the interaction:
Although using Safinamide and Tapenax ER 50 Tablet together may cause an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have symptoms such as confusion, hallucination, fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and loose stools. Inform a doctor if you have recently taken amitriptyline. Do not discontinue any medications without consulting a doctor.

TapentadolSelegiline

Critical

How does the drug interact with Tapenax ER 50 Tablet:
Co-administration of Tapenax ER 50 Tablet together with Selegiline can increase the risk of serotonin syndrome (A condition resulting from the accumulation of high levels of serotonin in the body. Serotonin is a mood stabilizer).

How to manage the interaction:
Co-administration of Selegiline with Tapenax ER 50 Tablet is generally avoided as it can result in an interaction, but it can be taken if a doctor has advised it. If you experience confusion, hallucination, fits, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, blurred vision, muscle spasm or stiffness, tremors, stomach cramps, nausea, vomiting, and diarrhea call a doctor. Do not discontinue any medications without consulting a doctor.

TapentadolRasagiline

Critical

How does the drug interact with Tapenax ER 50 Tablet:
Using Tapenax ER 50 Tablet together with Rasagiline might raise serotonin hormone levels in the body, affecting the brain and nerve cells. Increased serotonin hormone can lead to severe side effects.

How to manage the interaction:
Taking Tapenax ER 50 Tablet with rasagiline is generally avoided, but can be taken only if prescribed by a doctor. However, if you experience confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, blurred vision, muscle spasm or stiffness, tremors, stomach cramps, nausea, vomiting, and diarrhea call a doctor right away. Do not discontinue any medications without consulting a doctor.

TapentadolNaltrexone

Critical

How does the drug interact with Tapenax ER 50 Tablet:
Using Tapenax ER 50 Tablet together with Naltrexone can block the effects of Tapenax ER 50 Tablet, which reduces its ability to effectively treat your illness.

How to manage the interaction:
Taking Tapenax ER 50 Tablet with Naltrexone is generally avoided as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, blurred vision, muscle spasm or stiffness, tremors, stomach cramps, nausea, vomiting, and diarrhoea call a doctor right away. Do not stop using any medications without a doctor’s advice.

TapentadolLinezolid

Critical

How does the drug interact with Tapenax ER 50 Tablet:
Using Tapenax ER 50 Tablet together with Linezolid might raise serotonin hormone levels in the body, affecting the brain and nerve cells. Increased serotonin hormone can lead to severe side effects.

How to manage the interaction:
Taking Tapenax ER 50 Tablet with Linezolid is not recommended, consult a doctor before taking it. If you experience confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, blurred vision, muscle spasm or stiffness, tremors, stomach cramps, nausea, vomiting, and diarrhea call a doctor right away. Do not stop using any medications without talking to a doctor.

TapentadolChlordiazepoxide

Severe

How does the drug interact with Tapenax ER 50 Tablet:
Using Tapenax ER 50 Tablet with chlordiazepoxide can increase the risk of side effects like decreased breathing rate, irregular heart rhythms, or problems with movement and memory.

How to manage the interaction:
Taking Tapenax ER 50 Tablet and chlordiazepoxide together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience any symptoms such as dizziness, shortness of breath, numbness in hands and feet, or palpitations, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.

TapentadolRizatriptan

Severe

How does the drug interact with Tapenax ER 50 Tablet:
Combining Tapenax ER 50 Tablet with Rizatriptan can increase the risk of serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although there is a possible interaction between Tapenax ER 50 Tablet and Rizatriptan, it can be taken if your doctor has advised it. If you notice any of these symptoms like confusion, hallucination, fits, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, shaking of hands and legs, incoordination, stomach cramps, nausea, vomiting, and loose stools, contact a doctor. Do not discontinue any medications without consulting a doctor.

TapentadolPrimidone

Severe

How does the drug interact with Tapenax ER 50 Tablet:
Taking Tapenax ER 50 Tablet with Primidone can increase the risk or severity of side effects such as breathing problems.

How to manage the interaction:
Taking Primidone with Tapenax ER 50 Tablet can result in an interaction, it can be taken if your doctor has advised it. However, contact a doctor immediately if you experience dizziness, sleepiness, difficulty concentrating, and impairment in judgment. Do not discontinue any medications without consulting a doctor.

TapentadolVilazodone

Severe

How does the drug interact with Tapenax ER 50 Tablet:
When Vilazodone is taken with Tapenax ER 50 Tablet, may increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
There may be a possibility of interaction between Vilazodone and Tapenax ER 50 Tablet, but it can be taken if prescribed by a doctor. If you notice any of these signs - like confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea-call a doctor right away. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

Include vitamin B and D-rich foods in your diet.
Exercising regularly helps to improve overall health and combat pain.
Rest well and get plenty of rest.
Taking a warm bath can be very relaxing.
Avoid smoking and drinking alcohol.
Meditation and yoga can reduce stress and pain sensitivity and improve coping skills.
Acupuncture, by stimulating pressure points, can be beneficial.
Massages with essential oils can help increase circulation.

Side Effects of Tapenax ER 50 Tablet

Nausea
Dizziness
Vomiting
Somnolence
Decreased appetite
Anxiety
Confusion
Hallucination
Sleep problem
Abnormal dreams
Trembling
Flushing
Constipation
Diarrhoea
Indigestion
Dry mouth
Itching
Increased sweating
Rash
Muscle cramps
Feeling of weakness
Fatigue
Feeling of body temperature change

Habit Forming

Yes

Therapeutic Class

NARCOTIC (OPIOID) ANALGESIC

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Drug-Diseases Interactions

No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

How does Tapenax ER 50 Tablet work?

Tapenax ER 50 Tablet acts directly on opioid receptors in the central nervous system, reducing pain by interfering with the way neurons convey pain between the brain and the body.

I am 65 years old. Can I take Tapenax ER 50 Tablet to treat severe pain conditions?

Usually, no dose modification is required in geriatric patients (those over the age of 65). On the other hand, Tapentadol excretion may be delayed in some people of this age group. In such a case, your doctor may advise you to try an alternative dosage regimen.

Is Tapenax ER 50 Tablet safe to use?

Tapenax ER 50 Tablet is safe when using the lowest effective doses for the shortest duration consistent with individual patient treatment goals.

Can I quit taking Tapenax ER 50 Tablet if I'm feeling better?

Do not immediately quit Tapenax ER 50 Tablet since the quick discontinuation of opioid analgesics has resulted in severe withdrawal symptoms, uncontrolled pain, and suicidal thoughts in physically dependent patients.

Is Tapenax ER 50 Tablet controlled medication?

Tapenax ER 50 Tablet contains tapentadol, a Schedule II controlled medication. Controlled medication is a drug or substance that the government strictly regulates due to the possibility of abuse or addiction.

Drug-Drug Interactions Checker List

DULOXETINE
DESVENLAFAXINE
LINEZOLID
PREGABALIN
NALOXONE
OXYCODONE
DIAZEPAM
ALPRAZOLAM

Special Advise

Do not take Tapenax ER 50 Tablet for longer than it is prescribed because repeatedly using it may make your body dependent on it. If you stop taking Tapenax ER 50 Tablet suddenly, it can cause withdrawal symptoms such as restlessness and irritability. The doctor will recommend that you reduce your dose slowly to prevent the risk of withdrawal effects.
Tapenax ER 50 Tablet is a controlled drug, and you must take a prescription while travelling abroad.

Disease/Condition Glossary

Pain: Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Pain may be dull or sharp, constant, or may come and go. The tolerance level of pain might vary from person to person. Pain can be generalized (overall body aches) or localized (affecting a specific body area). Pain can be considered a good thing as it helps us know something is wrong in the body and helps diagnose the condition. The common causes of pain include headache, muscle strain, cramps, cuts, bone fractures and arthritis.