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A total of three % of Lively substance is excreted in urine as unchanged Lively substance. Tapentadol is Also metabolised to N-desmethyl tapentadol (13 %) by CYP2C9 and CYP2C19 and also to hydroxy tapentadol (2 %) by CYP2D6, which can be more metabolised by conjugation. Hence, Energetic compound metabolism mediated by cytochrome P450 method is of a