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Tapal ER 100mg Tablet 10s nerve pain support About: Contains Metformin to improveAbout Product Information Tapal ER 100mg provides extended release pain relief for moderate to severe pain. Usage Instructions One tablet every 12 hours; swallow whole. Benefits 24 hour pain control, improved compliance. How it Works Tapentadol dual action: mu opioid agonist and norepinephrine reuptake inhibitor. Side Effects Dizziness, nausea, constipation, respiratory depression risk. Safety Advice Avoid alcohol; store securely away from children.