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Take this medicine with a full glass of water. Tapentadol can be taken with or without food. Stop taking all other around-the-clock narcotic pain medications when you start taking tapentadol extended-release tablets. Do not crush, break, or open an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose. Tapentadol can cause constipation. Talk to your doctor before using a laxative or stool softener to treat or prevent this side effect. While using this medicine, you may need frequent blood tests. Do not stop using tapentadol suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. Never crush or break a tapentadol pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.
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