Tapentadol is partially metabolized because of the hepatic enzymes CYP2C9, CYP2C19, and CYP2D6 so it innately has interactions with medication that increase or repress the activity/expression of one or more of those enzymes, together with with substrates of these enzymes (resulting from competition for your enzyme); some enzyme mediators/substrates have https://jamesu763vku5.wikievia.com/user