I have a scrip for this stuff, a little off-label since its for long term pain treatment that is not arthritic. It works very well on certain kinds of pain. In fact, a 50mg pill works about as good as 2 hydrocodones 10/325 on the pain I have. It makes me so sad its so expensive, cause I only have to take one in the morning and it lasts well into the night. They say it should be safer as far as most abdominal problems go, and the clinical trials support that to a certain extent. I guess it has to come as an rx only because they get to charge more or something.