I've been taking Cesamet for 4 weeks now. I begin week 5 tomorrow, which is my top level dose that I had to work up to.
I'm surprised with this medication for a number of reasons. One is that the body adjusts to it quickly, unlike my experience with other 'narcotics' (which left me feeling stupid no matter what). After the initial 2 weeks, I wasn't getting the euphoric feeling increasing the dose. After 2 days at the next level of medication, it evens out and besides feeling a bit dopey/drowsy, otherwise very tolerable side effects.
Oh that's the thing. Other than the bit dopey feeling, no side effects. Nadda, ziltch. And I can take it with other medications with apparently very little interaction (there are some, but I also take Clonazepam and I'm actually taking less Clonazepam since I started taking Cesamet).
What's important? It broke through the ball of pain,burning etc within 2 weeks. I noticed this week I haven't taken more than 2 Aleve (for my jaw pain) in the past 2 weeks.
Yup, it kicked the snot out of the neuralgia pain I was having. I occasionally get a bit of a headache, but they're minor and short lived, compared to the agony I had been in, this is heaven.
The only downside I'm finding is the cost. $350 for 93 pills (31 days worth). I'm glad I have insurance. It's worth the cost for me because I am living *almost* pain free and it's been a long time since.
Definitely 2 thumbs up for me in regards to this medication