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    As therapeutic concentrations of drugs that are subject to glucuronidation are generally well below the concentrations needed for potential inhibition of glucuronidation, the risk of nucynta gallbladder palexia 50 mg tapentadol schedule uk tapentadol fass palexia dose massima clinically relevant interaction between these drugs is generally low .
    The following substances have tapentadol been included in a set of interaction studies without any clinically significant finding: paracetamol, acetylsalicylic acid, naproxen, probenecid, omeprazole and metoclopramide (see Pharmacokinetics) .
    tapentadol Only a small amount of tapentadol is metabolised by oxidative pathways (see Pharmacokinetics) .
    Tapentadol was shown to be a weak inhibitor of human CYP2D6 nucynta od palexia retard 100mg palexia antidolorifico tapentadol tablets side effects tapentadol activity in vitro but at concentrations 180- to 1400-fold higher than maximum concentrations in humans .
    In vitro induction experiments in human hepatocytes showed that CYP1A2, CYP2C9, and CYP3A4 tapentadol activities were not markedly induced .
    Thus in vitro studies did tapentadol not reveal any potential of tapentadol to either inhibit or induce cytochrome P450 enzymes .
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    Tapentadol was shown to be a weak inhibitor of human CYP2D6 activity in vitro, and an inducer of CYP1A, CYP2B and CYP2E in tapentadol rats in vivo . The potential clinical relevance of this finding is tapentadol unknown .
    The potential clinical relevance of this finding tapentadol is unknown .

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