It is indicated for managing severe, chronic, or neuropathic pain that requires around-the-clock, long-term opioid treatment when alternative options are inadequate.

Swallow Whole: The 200mg dosage is typically in an extended-release or prolonged-

release formulation.

Do Not Crush/Chew: Never crush, break, chew, or dissolve the tablet. This can cause

rapid release of the medication, leading to a fatal overdose. Dosage Timing: It is usually taken every 12 hours (twice daily).

If you miss a dose, skip the missed dose and return to your regular schedule. Do not double the dose to make up for a missed one.

What are the common side effects?

Common side effects include:

 Nausea and vomiting

 Dizziness and headaches

 Somnolence (extreme sleepiness/drowsiness)

 Constipation

 Dry mouth

 Sweating

No. Abrupt discontinuation can cause withdrawal symptoms, including anxiety, restlessness, tremor, sweating, and nausea. Your doctor will help you taper off the medication gradually.

Store at room temperature (20°C to 25°C), away from heat, light, and moisture. Keep out of reach of children and pets. Properly dispose of unused medication, ideally through a take-back program or, if necessary, by flushing it down the toilet.