I've been off of nucynta for about 2 years after I lost my job and insurance. I now have a job with insurance and a new pm doctor. He started me on 50 mg x 2 day does anyone have problems staying awake the next morning? I'm struggling. This wasn't an issue when I took it before and was on a slightly higher dose. If anyone can give me any suggestions I'm willing to try anything that might help. All I know is that i can't fall asleep at work...