My rule, after years of this: if it cannot survive being written down with the numbers attached, it is marketing.

I would stop trying to convey how bad it is and start saying what you want them to do. Not on tapentadol but the pattern is familiar.

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

Is a baseline blood test really necessary before starting something like this?

The last ten percent of a taper takes as long as the first ninety. Nobody says so until you are in it.