Thanks for your reply, PamelaJune. The tapentadol wasn't helping the nerve pain, and my doctor thought that raising the dose wouldn't help. She put me back on methadone, which I had been on for several months. I really wanted to stay away from methadone because it makes me nauseous, I hate how it makes my brain (not)work, and the stigma from that particular drug is hard for me. People assume you're an addict if you take it, and I know addicts are not bad people--my nephew is one, and he can't help it--but the look you get at the pharmacy and even various healthcare people is disheartening.

Oh well, sometimes there just aren't any good choices.