I was prescribed Nucynta but I was reading that it may cause seizures and I am allergic to Tramadol and have had seizures when I was on that. It worries me that I read tapentadol and am afraid that it's in the same family as Tramadol. Am I right? I haven't taken any yet but I don't want another episode of another grand mal seizure. Any immediate answers will be greatly helpful. I a currently on 325mg Norco and was told not to use at same time as Nucynta.
Need as much info on Nucynta?
- 18 Oct 2011 by slbasketcase
- 27 January 2012
- seizures, anxiety, pain, back pain, fibromyalgia, tramadol, tapentadol, nucynta
Added 18 Oct 2011:
When it states that its a Sustance II drug, what does that mean? Is this considered to be along to top 10 narcotics? I was on Fentanyl for 2 years and dont want to get back into something that strong and that much harder to withdraw from. Is it possible i may just request morphine in place of it since its cheaper? This stuff is way expensive and with my insurance changing next year, it will be that much more expensive.
Yes, unfortunately Nucynta (tapentadol) is an opiate pain reliever. It is the first new molecule for pain relief to be developed within the past 25 years. It is approved to treat moderate-to-severe short-term pain in adults.
This medication is a narcotic and is a "controlled substance", like Tramadol is also considered to be controlled substance in some states in the US.
Nucynta is classified as a "centrally acting opioid analgesic. It works in the central nervous system (the brain and spinal cord), acts much like morphine in the body, and relieves pain. Much like morphine, Nucynta binds to certain opioid receptors in the body known as μ ("mu") receptors.
Nucynta also works a little like some antidepressant medications by inhibiting the reuptake of the neurotransmitter norepinephrine. Norepinephrine is one of several chemicals used to send messages from one nerve cell to another. As a message travels down a nerve, it causes the end of the cell to release norepinephrine.
The norepinephrine enters the gap between the first nerve cell and the one next to it. When enough reaches the second nerve cell, it activates receptors on the cell and the message continues on its way. The first cell then quickly absorbs any norepinephrine that remains in the gap between cells; this is called "reuptake." By inhibiting the reuptake of norepinephrine, Nucynta essentially increases its activity.
Nucynta has a significant potential for both psychological and physical dependence and abuse. In fact, it is classified as a controlled substance, there are special rules and regulations for prescribing and obtaining the medication.
Norco & Nucynta when taken
MONITOR: Central nervous system- and/or respiratory-depressant effects may be additively or synergistically increased in patients taking multiple drugs that cause these effects, especially in elderly or debilitated patients.
MANAGEMENT: During concomitant use of these drugs, patients should be monitored for potentially excessive or prolonged CNS and respiratory depression. Ambulatory patients should be counseled to avoid hazardous activities requiring mental alertness and motor coordination until they know how these agents affect them, and to notify their physician if they experience excessive or prolonged CNS effects that interfere with their normal activities.
Take care, be well, please, my best wishes!
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