"switched a while back from hydrocodone, tramadol, soma in combination for many years to this nucynta er and ir. i take 2 ers a day and one ir a day. i am thankful for nucynta, it actually melts the pain away and keeps your mind awake. i don&#039;t have to take 8 hydrocodones a day 6 tramadols, and 2 somas to get relief. i have been with my &quot;new&quot; doctor for about 8 months, and have been on this new combination for 5 or 6 mos. it is nice to only have to take a couple of pills instead of eating them like they are candy to get relief."