Good Morning and Welcome @bigjas747! I am in Arkansas USA and the original poster on this thread in March 2017. In August my primary care doc switched me from Hydrocodone to Nucynta ER (Tapentadol). I started at 100 mg twice daily. It is extended release. It works much better than the Hydrocodone at relieving my pain, but I do still have a good bit of pain. My dosage has been raised twice and I am at 200 mg now. When I have surgeries they give me the acute pain, quick acting version of the Tapentadol but it's just for a few days or a couple of weeks depending on the surgery pain. I absorb it pretty well considering I am gastric bypass. I hope it continues to work well for you and you are successful at losing your regain. God bless.