Has anyone used this medication for nerve pain? I was on a fairly low dose of methadone, and having a lot of problems with nausea and mental confusion (some people might call it "being high" I guess) so I didn't want to try upping the dose for that. So I recently asked my pain med doc about Nucynta and she agreed to switch me to it. She started me on 50 mg ER 2x day, which I believe is the normal starting dose. But it isn't working, so now she upped it to 100 mg 2x a day, but said that if that doesn't work, we should go back to methadone. .

Anyway, my question is: does anyone have any idea why a doctor would not want to keep trying a little higher dose of Nucynta? Their dosage instructions say you could go up to 500 mg a day of the ER, or I think 600 of the regular. What could be the problem that's so bad that'd you rather make someone nauseous with methadone? They're both Sched II and abuse-able, so I just don't get the preference. If anything, I'd think that methadone would be more likely to be abused, but I don't know.

If you ever tried this med for nerve pain, did it help, and what dose were you on? Thanks!

I had Tapentadol prescribed 200mg plus 2x3 sublingual temgesic, although I only took 2 temgesic per day instead of the recommended 6. After I asked to be changed from MSContin, OxyContin and Endone. I took the Tapentadol combination for just under a month. It contributed to a terrible bowel obstruction requiring hospitalisation and I chose not to take it again. I manage now with just the temgesic and will not go back to MS Contin or OxyContin and endone. I am grateful to have finished with those drugs and thanks to the temgesic not suffered such hideous withdrawals that I hear others do. I do recall my PM expressing concern that the Tapentadol dose not be exceeded.

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.

I know that look, being registered as a S8 user was bad enough, now I'm on sublingual temgesic also known as buprenorphine and this is a drug widely used to assist addicts get off whatever they are addicted to. When people hear I'm on temgesic they look at me like I'm an addict in recovery. My GP wanted to put me on methadone back in 2009 to help manage my pain but I refused because of the stigma. I wish now in 2016 some things had changed but sadly no. With pharmacy drugs now more widely blasted as prescription drug addicts we are in a no win situation. I take as small amount as I can to get by on a daily basis. I know I should take more to have a better quality of life but the stigma fear festers in me.