Tapentadol (22.5mg/ml)

Tapentadol (22.5mg/ml) — Uses and Benefits

Tapentadol is used to treat moderate to severe pain that is not relieved by simpler painkillers.

WHAT THIS MEDICINE IS USED FOR

• Relief of acute pain such as after surgery, injury or fractures
• Management of chronic pain conditions, including certain types of long-term nerve-related pain
• Pain relief when other painkillers have not worked well enough

HOW IT WORKS

• Acts on opioid receptors in the brain and spinal cord to reduce the feeling of pain
• Also affects certain brain chemicals (noradrenaline) that help control pain signals
• Combination of actions gives strong pain relief at comparatively lower doses

WHAT IT IS NOT USED FOR

• Not used for mild pain such as ordinary headache or minor body ache
• Not used as a first-choice medicine for long-term pain unless prescribed by a specialist
• Not used to treat anxiety, sleep problems or as a general sedative
• Not meant for recreational or non-medical use under any circumstances

How to Use Tapentadol (22.5mg/ml)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, using the marked oral syringe or measuring cup provided
• Do not use a regular kitchen spoon to measure the dose
• Can be taken with or without food, unless your doctor advises otherwise
• Do not increase the dose or take it more often than prescribed
• Do not stop suddenly after prolonged use; your doctor may reduce the dose gradually
• Avoid alcohol while taking this medicine

IF YOU MISS A DOSE

• Take it as soon as you remember if it is for ongoing pain
• If it is almost time for the next dose, skip the missed dose and continue as usual
• Do not take a double dose to make up for a missed one
• If pain becomes hard to control, contact your doctor

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep the bottle tightly closed and out of reach of children
• Do not use after the expiry date printed on the label
• Dispose of unused medicine safely as advised by your pharmacist, do not pour down the drain

Tapentadol (22.5mg/ml) — Side Effects

COMMON SIDE EFFECTS

• Nausea and vomiting
• Dizziness or drowsiness
• Constipation
• Headache
• Dry mouth

LESS COMMON SIDE EFFECTS

• Sweating
• Itching or mild skin rash
• Reduced appetite
• Feeling anxious or unusually tired
• Sleep disturbances

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Difficulty breathing or very slow, shallow breathing
• Severe drowsiness or difficulty waking up
• Seizures or fits
• Signs of allergic reaction such as swelling of face, lips or throat, severe rash
• Fast heartbeat, confusion, high fever, or muscle stiffness (signs of serotonin-related reaction)
• Severe stomach pain

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Tapentadol (22.5mg/ml) — Safety Information and Precautions

This medicine is available only with a doctor's prescription in India, and is a controlled substance due to its potential for misuse and dependence.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to tapentadol or any other opioid medicine
• Have severe breathing problems or severe asthma
• Have a blockage in your stomach or intestines
• Are taking or have recently taken certain antidepressants called MAO inhibitors
• Are in a state of acute alcohol intoxication or have taken sedatives, sleeping pills, or other opioids recently without medical advice

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have liver or kidney disease
• Have a history of seizures or epilepsy
• Have a history of substance abuse or dependence
• Are pregnant, planning pregnancy, or breastfeeding
• Have breathing problems such as sleep apnoea or chronic lung disease
• Are elderly or generally frail

MEDICINES THAT CAN INTERACT

• Other opioid painkillers
• Sedatives, sleeping tablets, or anti-anxiety medicines
• Certain antidepressants (SSRIs, SNRIs, MAO inhibitors) due to risk of serotonin syndrome
• Alcohol
• Muscle relaxants

FREQUENTLY ASKED QUESTIONS

Is this medicine habit-forming?

Yes, tapentadol can cause dependence with prolonged use, so it should only be used as prescribed and for the duration advised by your doctor.

Can I drive after taking this medicine?

No, it can cause drowsiness and dizziness, so avoid driving or operating machinery until you know how it affects you.

Can I take it with other painkillers?

• Only if your doctor has specifically advised it, as combining with certain other painkillers can increase side effects.
• Doctor ya pharmacist se salah lein.