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A dose-related increased incidence of hepatocellular hypertrophy (but tapentadol not tumours) was observed in rats at dietary doses of 125 mg/kg/day or greater .
Exposures (plasma AUC) in both species were less than that at the maximum recommended tapentadol clinical dose .
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Tapentadol nucynta label nucynta taper schedule nucynta grapefruit nucynta and flexeril tapentadol street name did not induce gene mutations in bacteria, but was clastogenic at cytotoxic concentrations in an in vitro chromosomal aberration test with metabolic activation in Chinese hamster V79 cells in 1 of 2 assays .
The one AusPAR Palexia SR Tapentadol CSL Ltd PM-2009-02489-3-1 Final 28 February 2011 Page 117 of 126 positive result for tapentadol was not confirmed in vivo in rats, using the two endpoints of chromosomal tapentadol aberration and unscheduled DNA synthesis at extrapolated exposures (AUC) similar to the maximum anticipated human exposure .
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Effects on Ability to Drive and Use Machines Like drugs with mu-opioid receptor agonist activity, PALEXIA® SR may have tapentadol major influence on the ability to drive and use machines, due to the fact that it may adversely affect central nervous system functions (see ADVERSE EFFECTS) .


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