I have been on Exalgo (and Dialudid for breakthrough pain) now for the past 4 months after being on HydroCodone for the past 3 years.

My only reason for the change was growing nausea with the hydro, and the Dilaudid and Exalgo did not have the same side effect for me.

Right now I am on the lowest dose 8mg of Exalgo, and may need to tweak that up some while I wait on my SCS perm system.

I love the Exalgo, but it is definitely more costly. With their card at Sams I am paying more than twice what my meds used to cost. The good news is that is at least 1/2 off what CVS would charge for the same med. I was also the first in my area on it, like you two, and experienced some delay in my initial prescription fill. It was worth it though. I am very satisfied with the relief.

Note: beware to always take near the same time. I slept in over a weekend and took it later for two days, then come Monday I took it early before work and was green for hours until the overlap wore off.

Nice to know some others finding relief with this.