Let's take a minute to talk about your medication.

This is Nucynta ER. It helps to treat severe pain that requires control around-the-clock. 

You should take this medicine exactly as directed. You can take it with or without food, but be sure to drink a full glass of water. You must swallow the tablet whole, and never break, crush, or chew it. Call your doctor if your dose does not control your pain. You should not change your dose or stop taking this medicine unless your doctor says it's okay. 
Most people tolerate this medicine well. Common side effects include a headache, nausea, vomiting, and stomach pain. It can also make you feel tired or dizzy. You should wait until you know how this medicine affects you before doing activities that require you to be alert, like driving. It's a good idea to stand up slowly to avoid becoming light-headed. Constipation can occur. You should talk to your doctor about a plan to prevent this. If these or other side effects become reasons you want to stop taking this medicine, please talk to your doctor or pharmacist. 

As with any medicine, more serious side effects can occur. Get emergency help if you have unusual changes to your body, like problems breathing, extreme sleepiness, fainting, or swelling or tingling in your face or mouth. It's important to read the Medication Guide for more information.

Nucynta can have severe interactions with other medications. Always check with your doctor or pharmacist before taking other medicines, even if they don't require a prescription. Also, do not drink alcohol.

This medicine is controlled by federal law. It can put you at risk for addiction, abuse, misuse, overdose, and death. It can be dangerous to others, so store it in a safe place. After you stop taking it you should dispose of it properly. Ask your pharmacist about proper disposal options in your area or go to the FDA.gov website for more information.
It can be unsafe for babies, so women should talk to their doctors before becoming pregnant and should not breastfeed.

For best results, work with your doctor to find the lowest dose that best controls your pain.