@borwin98 Journavx is available in the US; I get it at my local pharmacy. However, Medicare does not cover it and it is expensive, around $500 for 30. Also, it is only supposed to be taken for two weeks max, another reason that it is not good for chronic pain. I understand that the manufacturer is studying its use more long term for chronic pain. I still take it occasionally when I am having a bad day out of desperation in case it helps some .