Ajuste rápido de dosis de tapentadol en el tratamiento del dolor mal controlado

background: tapentadol is a new drug with a centrally acting, dual action mechanism on mor/nri. it is effective on moderate to severe pain and shows a favourable side effects profile in comparison to other major opiates. this could allow a fast dose titration to achieve an earlier pain control. material and methods: we present two cases on which we have performed a fast dose titration in hospitalised patients with bad pain control. this fast titration allowed an early control of the pain, in absence of side effects, achieving a shortening in their hospital stay. conclusions: the favourable side effects profile of tapentadol, allows a fast dose titration, achieving an efficacious pain control in a shorter time lapse.