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Top Mono 25 MG Tablet

Manufactured byMicro Labs Ltd.
ContainsTapentadol
Description

Top Mono 25 MG Tablet is a painkiller belonging to a group of medicines known as opioid analgesics. It is used to relieve moderate to severe pain. This medicine should be used with extreme caution since it has a high potential for addiction and abuse even at recommended dosages, especially with prolonged use.

Side effects

Major & minor side effects for Top Mono 25 MG Tablet

  • Unusual tiredness and weakness
  • Headache
  • Difficulty in breathing
  • Agitation and anxiety
  • Drowsiness
  • Itching or rash
  • Constipation
  • Nausea
  • Decreased appetite
  • Increased sweating
  • Stomach discomfort and pain
  • Changes in vision

Uses of Top Mono 25 MG Tablet

What is it prescribed for?

  • Moderate to severe pain
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within an hour of administration.
  • How long do the effects of this medicine last?
    The effect of this medicine lasts for about 12 hours of duration.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
  • Is this a habit forming medicine?
    Habit-forming tendencies have been reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Allergy

This medicine is not recommended for use in patients with a known allergy to tapentadol or any other inactive ingredients present in the formulation.

Severe asthma and breathing problems

This medicine is not recommended for use in patients suffering from breathing difficulties which may be caused due to various conditions such as asthma, hypercapnia, etc. since it may worsen the patient's condition.

Monoamine oxidase inhibitors

This medicine is not recommended for use in patients taking monoamine oxidase inhibitors (MAOI) due to the increased risk of serious and life-threatening side effects. A time gap of at least 14 days should be maintained between stopping therapy with MAOIs and starting therapy with this medicine.

Gastrointestinal obstruction

This medicine is not recommended for use in patients with gastrointestinal obstruction including paralytic ileus due to the increased risk of worsening of the patient's condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Drug dependence and abuse

This medicine has a high potential for addiction and abuse even at recommended dosages, especially with prolonged use. Appropriate patient monitoring, safety precautions, and management of dose quantity are recommended to reduce the risk of drug abuse.

Hypotension

The use of this medicine may cause a sudden drop in blood pressure, especially while getting up from a sitting or a lying position. Patients are advised to get up slowly from a sitting or a lying position to avoid fainting, dizziness, and falling. Report any unusual symptoms to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Driving or operating machinery

This medicine may cause dizziness, fainting, and drowsiness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Respiratory disorders

This medicine should be used with extreme caution in patients with respiratory disorders due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Withdrawal symptoms

Abrupt withdrawal of this medicine may cause withdrawal symptoms. Withdrawal of this medicine should be undertaken gradually using a dosage-tapering schedule. Symptoms of withdrawal may include tremors, nausea and vomiting, chills and fever, diarrhea, and even hallucinations in some cases.

Use in children

This medicine is not recommended for use in children below 18 years of age since the safety and efficacy of use are not clinically established

Elderly population

This medicine should be administered with caution in elderly patients since the risk of severe adverse effects is significantly high. Suitable adjustments in dose quantity and safety monitoring may be required in such cases.

Acute abdominal conditions

This medicine should be used with caution in patients with acute abdominal conditions due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Infectious diarrhea

This medicine should be used with extreme caution in patients with infectious diarrhea since it may worsen the patient's condition. Close monitoring, appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Missed Dose

Take the missed dose as soon as you remember. The missed dose can be skipped if it is almost time for the next scheduled dose. Try not to miss any dose as the quantity and timings are very specific and non-adherence could cause some side effects.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine

Alprazolam

Codeine

Salmeterol

Phenytoin

Disease interactions

Liver Disease

This medicine should be used with caution in patients with liver diseases due to the increased risk of severe adverse effects. Regular monitoring of liver function is necessary for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Seizures

This medicine should be used with caution in patients with seizure disorders due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Kidney Disease

This medicine should be used with caution in patients with kidney diseases due to the increased risk of adverse effects. Regular monitoring of kidney function is necessary for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Respiratory Depression

This medicine should be used with caution in patients with a history of respiratory depression due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Intracranial pressure

This medicine should be used with caution in patients with increased intracranial pressure or head injury due to the risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Take this medicine as instructed by the doctor. Your dose is likely to be changed by the doctor during the course of treatment and hence all changes should be properly followed. Do not consume this medicine in larger or smaller quantities than prescribed. You are likely to experience some side effects whenever there is a change in dose quantity or timings. The usage should be stopped gradually over time as instructed.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

Causes sleepiness

How it works
This medicine works by acting on opioid receptors and alters the response of pain receptors.
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Narcotic analgesics

Schedule

Schedule H

DailyMed - tapentadol hydrochloride tablet, film coated [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 23 April 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e35e8385-db1f-41a8-8307-20979569ac72

Tapentadol: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 23 April 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a610006.html

[Internet]. Medicines.org.uk. 2020 [cited 9 March 2020]. Available from:

https://www.medicines.org.uk/emc/files/pil.5159.pdf

Tapentadol - DrugBank [Internet]. Drugbank.ca. 2020 [cited 20 March 2020]. Available from:

https://www.drugbank.ca/drugs/DB06204
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Information on this page was last updated on 20 Mar 2020

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We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.