My pain managment doctor has me on opana er 15mg twice a day and cymbalta 30mg once a day, so far I haven't had any luck with both. Me and my doc have to have a long talk about pain meds b/c he wanted me to try Fentora although my health insurance won't approve it and in the mean time I have been without stronger pain meds that I currently need. Anyone know of a strong pain med that I won't have to battle the insurance companies with?