"ms-contin 60mg daily since 1998 w/breakthru pain combo w/msc-ir 30mg 3x day. some dizzy + naseau @times w/mscontin. began hysingla er 60mg daily 3 mo ago w/excellent results.  no lumbar pain.  80% cspine pain reduction + no side effects period. does work around clock. chronic discogenic pain in lumbar since 1989 post 3 level lumbar lami. pcdf c2-c5 + acdf c5-c6 w/80% pain relief. miracle rx for me! no addic. issues.  feel no high w/sustained release meds. just wish price will go down soon! highly recommend for those w/mod- sev lumbar pain that tolerate opiates well. also, like msc, no liver panels."