@dbamos1945 I went on tylemos. I think the prescription for 80 mg, the doctor didn’t want to decrease it. I lost instead of gaining on envenity, which is extremely weird since it was at least increase some. It is amazing after I went off both all the side effects went away. I have my normal pain but being on the meds I would have pain in areas I had broken bones. There was one day I couldn’t even walk on a foot that broke about 20 years ago. Tylemos is a different class than envenity. Good luck. I should have written down everything I felt - you might want to track your side effects.