Tapentadol is powerful in the categories of acute, osteoarthritic, neuropathic, and cancer discomfort. Tapentadol is increasingly used in numerous countries, including the USA, for postoperative pain relief. Though, there is a lack of broad-based confirmation for the function of tapentadol in the post-surgical setting. So far, there is only published research on postoperative pain medication after orthopedic and dental surgery, but none are associated with deep abdominal pain.
In this article, we will discuss two different types of medication tapentadol and oxycodone, and their differences:
Oxycodone tablets:
The opioid oxycodone is the common medication for critical postoperative pain, either in an immediate-release procedure, OxyNorm® or as an extended-release working, OxyContin.
Oxycodone delivers analgesic effects through µ-opioid receptors in the primary nervous system. Tapentadol hydrochloride/depot (Palexia/depot®) is a novel, centrally conducting, powerful anesthetic with a double mechanism of action on µ-opioid receptors and noradrenaline reuptake in the central nervous system.
Tapentadol is an active compound, devoid of active metabolites and not reliant on enzyme systems. For these reasons, it has a low drug interaction potential.
This dual mechanism also translates clinically into fewer adverse effects than with pure opioid agonists like oxycodone. This is probably due to less µ-opioid receptor stimulation.
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Tapentadol is shown in several studies on chronic pain patients to have comparable analgesic effects to traditional opioid pain medications like oxycodone and morphine, but with a more tolerable side-effect profile. In the postoperative setting after dental or orthopedic surgery, studies have shown less nausea and constipation.
It has also been proposed a lower regularity of pruritus correlated with oxycodone, but no discrepancy in central nervous system symptoms such as somnolence or dizziness. The most hazardous side-effect of opioids is respiratory depression with the possibility of fatal consequences. The researchers have not established any volumes from short-term postoperative discomfort administration referring to the respiratory effect of tapentadol on conventional opioids.