Tapentadol is partially metabolized through the hepatic enzymes CYP2C9, CYP2C19, and CYP2D6 so it innately has interactions with medicine that greatly enhance or repress the activity/expression of one or more of these enzymes, together with with substrates of such enzymes (because of Level of competition for your enzyme); some enzyme https://larryp000qgv8.bloggactif.com/profile