Tapentadol is partially metabolized via the hepatic enzymes CYP2C9, CYP2C19, and CYP2D6 so it innately has interactions with medicine that boost or repress the activity/expression of one or more of those enzymes, together with with substrates of these enzymes (on account of Level of competition for that enzyme); some enzyme https://paulf554cvl4.ouyawiki.com/user