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Lots of option for breakthrough pain. Methadone is used as a long acting time released narcotic. Pain management clinics will depending on the the patient and the condition often offer a shorter acting pain relief narcotic for break through. Examples could include, norco, vicodin, Oxycontin, dilaudid, morphine in various strengths depending on the dosage of methadone and how many tabs a day are being taken. Also depending on the dosage of Methadone the strength may be increased or shorther period between doses could be an option. All depends on how long a person has be taking Methadone and what the break through pain level are on a scale of 1-10. Hope this helps. I feel your pain.

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Q: If you have break through pain on methadone what else can you use to help the break through?
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