Does it take a period of days before it starts working I dont like to be over medicatwd but I'm a carer for my husband and nèeds to be active
SUSANNE; this is a pretty strong opiate medication and is used for around the clock use. I think I read that you take care of you husband But you also have to take care of yourself this is a special timed-release tablet so you do not break it for any reason. If you are still not getting relief from it by this morning or as your reading this please call your doctor this morning there are many other doses. and again remember if your worried about sedation you can not break this pill it sounds like it is not giving you a sedative effect which is rare for the first time. But all you can do is call the doctor and see what the doctor has to say. here is a copy and paste with some information on this medication copy and paste from here at drugs. com. GOOD LUCK CHUCK1957
(Tapentadol is an opioid pain medication. An opioid is sometimes called a narcotic. Tapentadol is used to treat moderate to severe pain. The extended-release form of this medicine (Nucynta ER) is for around-the-clock treatment of pain that is not controlled by other medicines. Nucynta ER is not for use...
I know how frustrating it is not to get an answer on something so important to you.
We are like-minded people with common problems. We don't give medical advice but suggestions on what could be causing problems or how we dealt with them. Many times it's for emotional support which is very helpful especially when you can't sleep because pain is interfering with life's needs.
At times, we need to research before posting our answers.
Sometimes life gets in the way of our posting. We generally cover each other "unofficially" if someone needs a break. If you have not yet commented in response, try it. It makes you feel really good and productive when you get a response of appreciation.
Back to your question...
Chuck gave you a very good answer in a very nice way (Rotflmao ... you know what I mean, Chuck!)
I may have missed the reason why you are taking pain meds.
I can think of two (? 3) reasons for you not getting relief :
- Opioids are not the drug of choice for all types of pain. The best example is neuropathic "nerve" pain. It responds better to Gabapentin (dosing an issue to finding what works best for you), Lyrica ( not all that it is cracked up to be on the commercials.Plus weight gain) and Cymbalta ( many complaints of withdrawal pain. I've had no problems).
- As Chuck mentioned, the dose is not high enough.
- Did you go from one opioid to another? If so, the conversion may not have been done correctly. They are NOT 1:1 conversions. If you want to post the previous med and daily dose plus the amount of time you were on it. Give the present med, daily dose and how long you have been on it.
We will try to give you an answer to take to your doctor for discussion.
Btw... if you include "please provide prompt response" or something similar. It may red flag your question for a faster response.
50 mg tablets, one taken in the morning and the second taken 12 hours later, is the starting dose for Tapentadol. It is available in higher doses, increasing in 50 mg increments. If 50 mg twice daily isn't helping, ask your doctor if she or he can increase your dose higher (e.g., 100 mg tablets twice daily would be the next step) until you reach a level where you notice that you're feeling less pain. Maximum dose for extended release Tapentadol is 300 mg per tablet, one tablet in the morning and the 2nd tablet 12 hours later. Incidentally, my GP had to increase my dose to 250 mg tablets before I began to get some significant pain relief. Hope this helps.
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