Nucynta

• Nucynta
• Nucynta ER

• Abstral
• Actiq
• ALfentanil HCl
• Arymo ER
• Astramorph
• AVINza
• Codeine Phosphate
• Codeine Sulfate
• ConZip
• Demerol
• DepoDur
• Dilaudid
• Dilaudid-HP
• Dolophine
• Dsuvia
• Duragesic-100
• Duragesic-12
• Duragesic-25
• Duragesic-50
• Duragesic-75
• Duramorph
• Embeda
• Exalgo
• fentaNYL
• fentaNYL Citrate
• fentaNYL Citrate (Bulk)
• fentaNYL Citrate (PF)
• fentaNYL Citrate PF
• fentaNYL Citrate-NaCl
• Fentora
• HYDROcodone Bitartrate ER
• HYDROmorphone HCl
• HYDROmorphone HCl (Bulk)
• HYDROmorphone HCl ER
• HYDROmorphone HCl PF
• HYDROmorphone HCl-NaCl
• Hysingla ER
• Infumorph 200
• Infumorph 500
• Ionsys
• Kadian
• Lazanda
• Levorphanol Tartrate
• Meperidine HCl
• Meperidine HCl-Sodium Chloride
• Meperitab
• Methadone HCl
• Methadone HCl Intensol
• Methadone HCl-NaCl
• Methadone HCl-Sodium Chloride
• Methadose
• Methadose Sugar-Free
• Mitigo
• MorphaBond ER
• Morphine Sulfate
• Morphine Sulfate (Bulk)
• Morphine Sulfate (Concentrate)
• Morphine Sulfate (PF)
• Morphine Sulfate ER
• Morphine Sulfate ER Beads
• Morphine Sulfate in Dextrose
• Morphine Sulfate-NaCl
• MS Contin
• Nucynta
• Nucynta ER
• Olinvyk
• Opana
• Opana ER
• Oxaydo
• Oxecta
• oxyCODONE HCl
• oxyCODONE HCl ER
• OxyCONTIN
• oxyMORphone HCl
• oxyMORphone HCl ER
• Qdolo
• Remifentanil HCl
• Remifentanil HCl-NaCl
• Roxicodone
• RoxyBond
• Rybix ODT
• Ryzolt
• Sublimaze
• Subsys
• SUFentanil Citrate
• SUFentanil Citrate (Bulk)
• Synapryn FusePaq
• traMADol HCl
• traMADol HCl (ER Biphasic)
• traMADol HCl ER
• TraMADol HCl ER (Biphasic)
• Ultiva
• Ultram
• Ultram ER
• Xtampza ER
• Zohydro ER

• Liquid
• Tablet
• Long Acting Tablet

• By mouth

Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

Swallow the extended-release tablet whole. Do not crush, break, or chew it. Take the tablet with enough water to swallow it completely. If you have been told to use more than one tablet, take them one at a time.

This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Store the medicine in a safe and secure place. Keep the oral liquid bottle upright after you open it.

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you. An overdose can be dangerous. Follow directions carefully so you do not get too much medicine at one time. Your doctor may also give naloxone to treat an overdose.

Oral liquid: Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to tapentadol, or if you have severe lung or breathing problems or stomach or bowel blockage (including paralytic ileus).

Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, breathing or lung problems (including COPD, asthma, sleep apnea), adrenal problems, diabetes, gallbladder problems, pancreas problems, stomach or bowel problems, or trouble urinating. Tell your doctor if you have a history of head injury, brain tumor, seizures, depression, or alcohol or drug abuse.

This medicine may cause the following problems:High risk of overdose, which can lead to deathRespiratory depression (serious breathing problem that can be life-threatening)Worsening of painSerotonin syndrome, when used with certain medicinesAdrenal gland problemLow blood pressureIncreased risk of seizuresSleep-related breathing problems (including sleep apnea, sleep-related hypoxemia)

This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.

This medicine may make you dizzy, drowsy, or faint. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully.

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

Do not use this medicine if you are using or have used an MAO inhibitor within the past 14 days.

Some medicines can affect how tapentadol works. Tell your doctor if you are using any of the following: Buprenorphine, butorphanol, cyclobenzaprine, metaxalone, nalbuphine, pentazocine, tramadolBenzodiazepine medicineDiuretic medicineMedicine to treat depression (including mirtazapine, trazodone, SNRIs, SSRIs, TCAs)Phenothiazine medicineTriptan medicine to treat migraine headaches

Do not drink alcohol while you are using this medicine.

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol. Tell your doctor if you are also using buprenorphine, butorphanol, nalbuphine, pentazocine, or a muscle relaxer (including cyclobenzaprine, metaxalone).

This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

• Extreme dizziness or weakness, shallow breathing, slow or uneven heartbeat, sweating, seizures, and cold, clammy skin
• Lightheadedness, dizziness, fainting
• Blue lips, fingernails, or skin
• Changes in skin color, dark freckles, cold feeling, tiredness, weight loss
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Anxiety, restlessness, muscle spasms, twitching, diarrhea, seeing or hearing things that are not there
• Confusion, headache
• Worsening of pain, increased sensitivity to pain
• Constipation, diarrhea, stomach pain, nausea, vomiting
• Sleepiness or tiredness