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Prescription requiredAbbott Healthcare Pvt LtdAnalgesic (Opioid analgesic)

Tapiristat 20 mg Tablet

Topiroxostat (20mg)

Tapiristat 20 mg Tablet is used for management of moderate to severe acute pain where an opioid analgesic is appropriate (as prescribed by a doctor).

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

₹94₹9.38 per tablet
Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Topiroxostat (20mg)
Available variants: tablet 20 mg 10S
Best price: ₹94 (₹9.38 per tablet)
Prescription: Required
Manufacturer: ABBOTT HEALTHCARE LIMITED

Ordering notes

Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Tapiristat 20 mg Tablet

Tapiristat 20 mg Tablet contains Topiroxostat (20mg). It belongs to the Centrally acting opioid analgesic (mu-opioid receptor agonist and norepinephrine reuptake inhibitor) class of medicines.

Uses of Tapiristat 20 mg Tablet

Management of moderate to severe acute pain where an opioid analgesic is appropriate (as prescribed by a doctor).

Key benefits

  • Relieves moderate to severe pain
  • Provides central analgesia
  • Useful when NSAIDs are inadequate
  • Improves functional comfort during acute pain episodes

How Tapiristat 20 mg Tablet works

Tapentadol is a centrally acting opioid analgesic. It relieves pain by activating mu-opioid receptors and also increases norepinephrine levels by inhibiting its reuptake, which enhances descending pain inhibition.

How to take Tapiristat 20 mg Tablet

Take by mouth exactly as prescribed. Swallow tablet whole with water; do not crush/chew. May be taken with or without food; take at the same time each day if on a schedule. Avoid driving/operating machinery until you know how it affects you.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

If you miss a dose of Tapiristat 20mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

If you take too much

An overdose of this medicine can seriously suppress the bone marrow and damage the liver. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Tapiristat 20 mg Tablet

Most side effects of Tapiristat are mild and settle as the body adjusts. Reported side effects include:

  • nausea
  • vomiting
  • constipation
  • dizziness
  • drowsiness
  • headache
  • dry mouth
  • sweating

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Tapiristat 20 mg Tablet

PregnancyConsult doctor (use with caution; generally not recommended unless clearly needed)
BreastfeedingBreast feeding CONSULT YOUR DOCTOR
AlcoholAvoid
DrivingDriving UNSAFE
KidneyKidney CAUTION
LiverLiver CONSULT YOUR DOCTOR
Habit formingYes

Warnings and precautions

Prescription opioid: risk of dependence, abuse and addiction. Can cause severe drowsiness, respiratory depression and low blood pressure; higher risk in elderly, debilitated patients, and those with lung disease (asthma/COPD/sleep apnea). Avoid use with other CNS depressants unless advised. Use caution in head injury, seizures, liver/kidney disease, and history of substance misuse. Do not stop abruptly if used regularly; taper under medical supervision.

Do not take Tapiristat if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with an active serious infection, or with severe liver or bone-marrow disease. Several of these medicines must not be used in pregnancy.

Interactions with other medicines

Alcohol, benzodiazepines (diazepam/alprazolam), other opioids, sedating antihistamines, antipsychotics, antidepressants (SSRIs/SNRIs/TCAs), MAO inhibitors (avoid within 14 days), tramadol, linezolid/methylene blue (serotonergic drugs), gabapentin/pregabalin

How to store Tapiristat 20 mg Tablet

Store below 25°C in a cool, dry place. Protect from moisture and light. Keep out of reach of children.

Expert advice for Tapiristat 20 mg Tablet

Take adequate water or fluids while taking Tapiristat 20mg Tablet to prevent kidney stones. Treatment with this medicine should not be started during a sudden/severe gout attack. Wait until your current attack is over before starting this medication. Consult your doctor before taking it if you have or ever had kidney stones, stomach ulcers, peptic ulcers, diabetes, liver disorders or blood disorders. Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. Take adequate water or fluids while taking Tapiristat 20mg Tablet to prevent kidney stones. Treatment with this medicine should not be started during a sudden/severe gout attack. Wait until your current attack is over before starting this medication. Consult your doctor before taking it if you have or ever had kidney stones, stomach ulcers, peptic ulcers, diabetes, liver disorders or blood disorders. Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.

Manufacturer and class

Manufacturer:
ABBOTT HEALTHCARE LIMITED
Therapeutic class:
Analgesic (Opioid analgesic)
Drug class:
Centrally acting opioid analgesic (mu-opioid receptor agonist and norepinephrine reuptake inhibitor)
Chemical class:
Pyridyl- 1,2,4- triazoles

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Tapiristat 20 mg Tablet FAQs

What is Tapiristat 20 mg Tablet used for?
Tapiristat 20 mg Tablet is commonly used for Management of moderate to severe acute pain where an opioid analgesic is appropriate (as prescribed by a doctor). Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Tapiristat 20 mg Tablet?
Tapiristat 20 mg Tablet contains Topiroxostat (20mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Tapiristat 20 mg Tablet?
Take by mouth exactly as prescribed. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Tapiristat 20 mg Tablet work?
Tapentadol is a centrally acting opioid analgesic.
Is Tapiristat 20 mg Tablet a prescription medicine?
Yes. Tapiristat 20 mg Tablet is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Tapiristat 20 mg Tablet?
The side effects reported most often with Tapiristat are nausea, vomiting, constipation, dizziness, drowsiness. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Tapiristat 20 mg Tablet be taken during pregnancy?
Consult doctor (use with caution; generally not recommended unless clearly needed) Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Tapiristat.
Can I drink alcohol while taking Tapiristat 20 mg Tablet?
Avoid
What if I miss a dose of Tapiristat 20 mg Tablet?
If you miss a dose of Tapiristat 20mg Tablet, take it as soon as possible.
Is Tapiristat 20 mg Tablet habit forming?
Yes Take Tapiristat only as directed and for the duration your doctor advises.
How much does Tapiristat 20 mg Tablet cost on PingMeDoc Pharmacy?
Tapiristat 20 mg Tablet starts at ₹94 on PingMeDoc Pharmacy. Available in tablet 20 mg 10S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Tapiristat 20 mg Tablet?
Tapiristat 20 mg Tablet is manufactured by ABBOTT HEALTHCARE LIMITED. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Tapiristat 20 mg Tablet delivered?
Tapiristat 20 mg Tablet is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Tapiristat 20 mg Tablet, Quick facts

Salt
Topiroxostat (20mg)
Form
tablet
Best price
₹94 (₹9.38 per tablet)
Prescription
Required (Rx)
Brand
Abbott Healthcare Pvt Ltd
Manufacturer
ABBOTT HEALTHCARE LIMITED
Therapeutic class
Analgesic (Opioid analgesic)
Drug class
Centrally acting opioid analgesic (mu-opioid receptor agonist and norepinephrine reuptake inhibitor)
Chemical class
Pyridyl- 1,2,4- triazoles
Action class
Xanthine Oxidase Inhibitors
Habit forming
Yes
Variants
tablet 20 mg 10S
Delivery
Standard across India

References

The information on Tapiristat 20 mg Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. Manufacturer labeling
  2. CDSCO/drug safety information, established medical literature (opioid analgesics/tapentadol monographs)
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Tapiristat 20 mg Tablet.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.