Originally Posted by LIT LOVE

It is a strong opiate, available in extended release or immediate release. If you're not on an ER med, that's probably the best option. Because it's a combo drug, it's actually effective in smaller dosages than other opiates.

I have tried many different opiate options and find both forms of Nucynta to be effective and have few side effects. You may experience drowsiness and constipation, and you will experience dependence after your body adjusts, of course. You should start at the lowest dosage available and be be very careful driving for a few weeks.

This is a schedule II narcotic, so you should understand the issues and inconveniences that go along with taking such drugs. (You need to realy trust your doctor and accept a certain amount of dependency on him or her, to go down this road.) If I was trying new meds, I would absolutely start with a trial of Low Dose Naltrexone before commiting to opiates. If that didn't work, Nucynta is a good place to start.

Don't expect you can take enough to be pain free. It'll allow you to have a lower baseline of pain through most of the day hopefully. Your doc can then decide if it would make sense to add in an IR opiate at some point as well.