"my anesthesiologist prescribed be belbica for the rsd. no relief and a migraine to boot.  so about two weeks ago he switched me to nucynta er 100 bid with a max of 4 norco 7.5/325 for breakthrough pain daily. i am waiting for the intrathecal pain pump. my insurance company denied the procedure saying they needed more info so now they are going to have a &quot;peer to peer&quot; today  with the spinal surgeon. i am tired of all the different medications, the side effects and feeling like a lab tab. have maxed out the lumbar punctures too as minimal relief was achieved. i am fortunate to have a fantastic anesthesiologist  (pain mgmt) who genuinely cares about me and the situation i am in. nucynta seems to give little relief. will take any i can get"