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Understanding Tapentadol: Common Side Effects and What to Expect

Understanding Tapentadol: Common Side Effects and What to Expect

Tapentadol can cause a range of side effects, from common issues like gastrointestinal discomfort and nervous system disturbances to serious risks such as overdose and withdrawal symptoms. Long-term use requires careful monitoring and a tapering-off approach to reduce withdrawal effects. Consultation with healthcare providers is essential for safe use, and following preventive measures can help ensure effective pain management.

Tapentadol, marketed under the brand name Nucynta, is a prescription medication used to manage moderate to severe pain. While it can be an effective option for those struggling with pain relief, like all medications, it comes with potential side effects that patients should be aware of. In this blog, we will delve into the common and less common side effects associated with Tapentadol, helping you to make informed decisions about your pain management strategy. Understanding these side effects can not only prepare you for your treatment journey but also guide conversations with your healthcare provider about any concerns you may have. Whether you are considering Tapentadol for the first time or are currently using it, this comprehensive overview will equip you with essential knowledge for safer and more effective pain relief.

Tapentadol- An Overview

Tapentadol is a prescription medication primarily used to manage moderate to severe pain, particularly in cases where other pain relief options may not be effective. It is classified as an opioid analgesic but also has non-opioid properties, making it unique in its approach to pain management. The common Tapentadol brand names include Aspadol, Nucynta, and Palexia medication.

tapentadol-an-overview

Tapentadol works by binding to the mu-opioid receptors in the brain, similar to traditional opioids, while also inhibiting the reuptake of norepinephrine, which contributes to its analgesic effects. This dual mechanism of action of Tapentadol provides effective pain relief with a potentially lower risk of certain side effects associated with stronger opioids.

It is commonly prescribed for conditions such as post-surgical pain, injury-related pain, and chronic pain disorders. As with any medication, it is important to use tapentadol under the guidance of a healthcare professional, as it can cause side effects and has the potential for dependence or abuse.

Common Side Effects Of Tapentadol

The common side effects of Tapentadol, as listed by the FDA, are mentioned below [1].

cardiac-disorders

Cardiac disorders- Increase or decrease in heart rate.

 

  • Gastrointestinal disorders- Trouble in gastric emptying, constipation, and abdominal discomfort.

  • Nervous System Disorder- Disturbance in attention, hypoesthesia, sedation, coordination abnormality, ataxia, and memory impairment.

  • Psychiatric issues- Nervousness, restlessness, euphoric mood, agitation, and disorientation.

  • Immune system disorders- Hypersensitivity.

  • Respiratory Conditions- Respiratory depression, cough, and dyspnea.

  • General Health risks- Withdrawal syndrome, fatigue, irritability, feeling drunk, and edema.

 

Less Common Side Effects Of Tapentadol

  • Fever

  • Loss Of Voice

  • Painful Urination

  • Lower Back Or Side Pain

  • Chills

  • Bladder Pain

  • Muscle Aches

  • Bloody Or Cloudy Urine.

Rare Side And Serious Side Effects Of Tapentadol

Anxiety, seizures, slurred speech, sensation of heaviness, trouble swallowing, shakiness, chest tightness, being forgetful, swelling of the face, lips, and tongue, joint pain, pale or blue lips, fingernails, and skin.

Even though these adverse effects rarely occur, if they do, it is advisable to consult a physician immediately [2].

Notable Side Effects Of Tapentadol ER Tablets

The side effects of Tapentadol IR tablets and ER tablets are similar. Still, here is a rundown of the possible notable side effects of Tapentadol ER tablets that one should be aware of before taking the medication.

  • CNS Depression- Shallow breathing, fainting, trouble staying awake, shortness of breath, confusion, and dizziness.

  • Allergic reactions- itching, hives, rash.

  • Low blood pressure causes lightheadedness and blurry vision.

  • Similar to its IR formulation, it can also cause nausea, headache, and constipation [3].

Long-Term Side Effects Of Tapentadol

While tapentadol is an effective medication for managing moderate to severe pain, long-term use can lead to several significant side effects and risks that patients and healthcare providers should be aware of.

The long-term use of Tapentadol causes-

  • Risk of Overdosing

  • Withdrawal symptoms

Risk of Overdosing

One of the most critical concerns associated with prolonged Tapentadol use is the risk of overdose. Overdosing can occur if the medication is taken in higher doses than prescribed or combined with other substances that depress the central nervous system. Symptoms of a Tapentadol overdose may include:

  • Clammy skin

  • Increased sweating

  • Lightheadedness

  • Loss of consciousness

  • Swelling in the legs and ankles

  • Unusual drowsiness

  • Decreased awareness

  • Coughing

Immediate medical attention is essential if an overdose is suspected, as it can be life-threatening.

Withdrawal Symptoms

Another concern with the long-term use of tapentadol is the potential for dependence and withdrawal symptoms upon discontinuation. If a patient has been using tapentadol for an extended period and decides to stop, they may experience withdrawal symptoms, which can include:

  • Anxiety

  • Hallucinations

  • Upper respiratory symptoms

  • Rigors (shivering or shaking)

  • Diarrhea

  • Sweating

  • Insomnia

  • Piloerection (goosebumps)

  • Tremors

These withdrawal symptoms can vary in severity and may require medical supervision to manage effectively.

Managing Tapentadol Side Effects

Some of the potential ways to manage and lower the risk of side effects associated with Tapentadol are listed below.

Adopt Tapering-Off Method-

To avoid withdrawal symptoms, follow a taping-off method. Follow the prescribed Tapentadol dosage, then gradually decrease the dosage of the medication, allowing the body to adjust.

Speak To your Doctor-

People with kidney and liver disorders should consult a doctor before taking Tapentadol medication. As such, people have a higher risk of experiencing side effects.

Follow Preventive Measures-

  • Avoid the administration of other medication with Tapentadol to avoid drug interaction.

  • Pregnant and lactating women must avoid its use without consulting a doctor.

Additional Key Point-

To effectively avoid its side effects, it is essential to stay away from counterfeit medicines. Tapentadol pill identification is especially advisable when purchased online. Currently, numerous pharmacies retail counterfeit medications online.

Our Final Thoughts On Side Effects Of Tapentadol

Tapentadol is an effective option for managing moderate to severe pain; it is essential to be aware of its potential side effects, which can range from common issues like gastrointestinal discomfort and nervous system disturbances to more serious concerns such as overdose and withdrawal symptoms.

Long-term use necessitates careful monitoring, especially for individuals with pre-existing conditions. Patients should consider a tapering-off method to minimize withdrawal risks and consult their healthcare provider for personalized guidance, particularly if they have kidney or liver issues.

Additionally, adhering to preventive measures, such as avoiding drug interactions and being cautious about counterfeit medications, can help ensure safe use. Open communication with healthcare professionals is vital for managing side effects effectively and optimizing pain management strategies.

FAQ's

Palexia, the brand name of Tapentadol, has common side effects such as dizziness, nausea, headaches, vomiting, and constipation.

Tapentadol is a well-tolerated pain medication and is considered safe to use when taken in the right dosage.

Yes, the use of Tapentadol can affect your heart. It can cause serotonin syndrome, resulting in serious cardiac arrhythmia.

The use of Tapentadol tablets can affect the kidney and slow down the elimination process when taken by patients with renal impairments.

People with kidney, liver, and heart disorders should not take Tapentadol medication.

Yes, the use of Tapentadol can raise blood pressure.

It is not recommended to take two Tapentadol dosages at the same time, as it can increase the risk of overdosing.

The duration of Tapentadol side effects can vary depending on the dosage, frequency of use, metabolism, and overall health of the individual. Generally, a standard dosage of Tapentadol 100mg side effects, such as nausea, headache, or dizziness, may subside within a few days or weeks as the body adjusts to the medication.

Long-term side effects of Palexia(Tapentadol) can cause weight loss and loss of appetite.

A spontaneously reported common psychiatric disorder associated with Tapentadol is hallucination. Get help from a healthcare professional if you experience hallucinations or delirium.

References-

  1. Nucynta (Tapentadol Hydrochloride) tablets label, FDA. 

  2. Tapentadol (Oral Route), Mayoclinic. 

  3. Tapentadol Extended-Release Tablets, Clevelandclinic. 

  4. Tapentadol Withdrawal and Detox, therecoveryvillage.