PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Tapentadol hydrochloride - Pain (non-malignant) Important

Keywords :
Opioid analgesia, opioid analgesics
Brand Names Include :
Palexia, Palexia SR, Ationdo SR, Tapimio, Vacicom
Important Information :
Only on recommendation by a pain specialist for patients not responding to / not tolerating morphine or oxycodone

Traffic Light Status

Status 1 of 1.

Status :
Blue
Formulations :
  • Modified release tablets
  • Tablets
Trust Alignment :
Primary Care
ASPH
RSCH
SASH
SABP
Links :
BNF NICE SPC
CD
R
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

Other Indications

No indications returned.

Additional Documents

Type
Document
Review Date

Committee Recommendations

Date
Committee Name
Narrative
05 June 2019
Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)

The APC supports the use of tapentadol SR as a treatment option for the management of severe persistent non-malignant pain in adults after assessment and recommendation by a pain specialist for patients not responding to / not tolerating morphine OR oxycodone.

Due to the similar mode of action and relative efficacy of tapentadol compared with tramadol, it would be appropriate to have tried tramadol before initiating tapentadol.

Tapentadol SR will be considered as BLUE (no information sheet) on the traffic light system.

Please be aware of the MHRA drug safety update (January 2019- attached below) in relation to potential increase in seizure risk in patients taking other medicines 

Associated BNF Codes

04. Central Nervous System
04.07.02. Opioid analgesics
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