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For patients who experience significant evening or nighttime pain, the timing may be shifted to provide coverage during these periods, with the understanding that the extended-release formulation provides consistent analgesia throughout the dosing interval regardless of the specific time of administration. Australian clinicians emphasize that patients should never take codeine with Tapentadol unless specifically prescribed by a healthcare provider who has determined that the potential benefits outweigh the risks, and even then, close monitoring is required. Fentanyl Vs Tapentadol – Anytime. Patients are advised to take ibuprofen with food to reduce gastrointestinal irritation and to avoid taking other NSAIDs or aspirin concurrently unless specifically directed by their healthcare provider. Patients on long-term Tapentadol are typically seen every 3 to 6 months, and the treatment plan is reviewed to ensure that the medication continues to be appropriate.

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