I would stop trying to convey how bad it is and start saying what you want them to do. How long have you been on a written medication list?

The last ten percent of a taper takes as long as the first ninety. Nobody says so until you are in it. Sweating was my main issue with tapentadol too.

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

How do you tell the difference between the drug working and just a good week?

Photograph everything.