A new pain medication recommended for me. Need approval but have been reading a lot about this medication. Mixed reviews. My pain levels are severe. I am on Fentanyl patch, Gabapentin, Skelaxin and have read a lot about this medication but I have also taken Tramadol in the past with little relief. Any advise. I am so tired of the pain and need some control. Just to bring the pain levels down to a tolerable level. Any advise?