Being a CPP, I feel you can deal w/ the worst side effects, sexual disfunction - histamine inflammatory, if you have good insurance
(or more than enough cash, hah!) If I didnt have insurance, I do agree that the all the side effects may outweigh the benefits. I can eat a diet that keeps me semi-regular. I too, feel the biggest problem is rebound pain/tolerance. I've said this many times, if you are a CPP ask your Dr. if he knows about the benefits buprenorphine provides (in conjunction w/ opioids) for rebound pain. without it, my tolerance would steadily climb to rediculous levels.
Edit: Extended release medication does not work for me, some of you may want to keep this in mind if you are not getting adequate pain relief ! I no it is because of the procedure which most are formulated, It may as well be a small pebble. In the past, the original oxycodone wouldnt even dissolve, I had to cut them in half to receive pain relief !