Fentanyl
"I've been diagnosed with Dercum's Disease last year in July 2013.  I've tried too many medications to count.  I live in Alberta, Canada.  I don't know what the medical regulations are in the U.S. are or if they differ from state to state.  Here, as far as pain allowances go before they decide to prescribe opiates of any kind, they leave it up to the prescribing doctor. I went from Lyrica to gabapentin to mexilitine to hydromorphone and now the fentanyl patch (100 mcg) every 3 days. Does it work for me? I would say yes, to a degree. I'm on all those meds mentioned above minus the Lyrica. My pain levels on average daily are at an intolerable 8 on a scale between one and ten. It's bearable, whereas before it was excruciating."