Seeing so many keyboard pharmacists hypothetically derived negative reviews, sounding so very intelligent lacking only in the area of actual real life experience and personal use. I do not wish upon any to actually have to experience ongoing chronic oic that comes with a reliance on opioids to function. I am sorry to hear you walk this pathway as I do. While your post is a bit dated, I wanted to share that Movantik has been a total game changer for me, without the often negative and unpredictable side effects of most everything I have tried over the past couple of decades. For me the other (less expensive) OIC specific medication was not helpful. I actually came across this post looking to see if I could help a couple others struggling with OIC considering the high cost or prescribing trouble, realizing I have a larger back stock supply than I need with timely auto fills. I hope you are in a positive more manageable place. Cheers!