Tapentadol is partly metabolized from the hepatic enzymes CYP2C9, CYP2C19, and CYP2D6 so it innately has interactions with medicine that enhance or repress the activity/expression of one or more of these enzymes, along with with substrates of those enzymes (as a consequence of Levels of competition for your enzyme); some https://ariannau218vfh8.ktwiki.com/user