Tapentadol is partially metabolized from the hepatic enzymes CYP2C9, CYP2C19, and CYP2D6 so it innately has interactions with medication that greatly enhance or repress the action/expression of a number of of these enzymes, as well as with substrates of these enzymes (due to Levels of competition with the enzyme); some https://norahx121uka0.wikibuysell.com/user