pain
"I have L5-S1 problems and S1 renervation/denervation causing mild foot drop plus I just had SLAP tear (shoulder) surgery in February of this year.  I've used Tramadol for so many years that I'm pretty much immune to it and I can't sleep if taken past 4PM.  Nucynta acts totally opposite for me. I take it with 75mg of Lyrica and 0.25mg of alprazolam before bed and I'm sleeping better than ever. Nucynta might make you nod.  I'm a hyper person and it puts me down. Enjoy!"