I had Tapentadol prescribed 200mg plus 2x3 sublingual temgesic, although I only took 2 temgesic per day instead of the recommended 6. After I asked to be changed from MSContin, OxyContin and Endone. I took the Tapentadol combination for just under a month. It contributed to a terrible bowel obstruction requiring hospitalisation and I chose not to take it again. I manage now with just the temgesic and will not go back to MS Contin or OxyContin and endone. I am grateful to have finished with those drugs and thanks to the temgesic not suffered such hideous withdrawals that I hear others do. I do recall my PM expressing concern that the Tapentadol dose not be exceeded.