I am so sorry to hear your brother is in chronic pain I understand I have Poly Neuropathy! I have been prescribed Oxecodone IR in the past and it was a wonderdrug for me! I went from sleeping 6 hrs every 3 days to a solid 4 hrs a night and what a blessing that was! I want to caution you on the methodone and its dangers. My husband just lost his 26 year old Niece to methodone because she accidently took 2 doses! I know Methodone helps allot of people and I am not saying it is a bad drug, but it is scarey since we lost someone close to it. I have found each doctor has their own policies on pain meds,but don't give up!! I changed doctors and when I did it was not that new doctors policy to prescribe the pain meds I had been on that worked for me.

You could also take him to a pain clinic. Well I hope the best for you and your brother