One note to add. Tapentadol does seem to have a few specific side effects, though some only occur at break through pain dose for me (150mgs - 2 75mg tablets). It seems to cause dehydration so be sure to drink an extra glass or two of water. Also, be careful not to take it right before bedtime. Take it 2 hours before bed and you should be fine. There are relatively few side effects at the 75mg dosing for me. I experience less side effects with this than medication than oxycodone and all in all very few side effects occur at the normal 75mg dose.
However, as I'm allowed for breakthrough levels of pain, I can take a second tablet. THIS is what generally causes any real side effects. Closed eye visuals, corner of eye illusions and slight auditory hallucinations have occured but they disipate in about
90 minutes and the pain relief if I'm hurting that bad is worth it. Just something to be aware of. ;)
Also, just like tramadol, remember that anti depressants and ADHD medications like Adderall can increase the NRI effects of this medication. Hope this medication brings you the relief it did for me :)
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.