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Do you want to come off opioids completely? It depends where the pain is but there are other options such as anti-inflammatory medications, implantable pumps, nerve blocks, etc. Also some people get relief from physical therapy, massage or acupuncture.

Depending on what you take now you can switch to a long acting pain medication such as MS Contin or Oxycontin and then you would likely require smaller doses of a short acting medication for breakthrough pain. You may also need to take Methadone during the process of coming off your meds. It's very important to see a Doctor Who specializes in pain management or go to a pain clinic where they are experienced in dealing with different kinds of pain and medication issues. Most regular health care providers are not fluent or comfortable with managing complex pain issues especially when opioids are involved. It would be likely in that case that you would not receive adequate pain management and would end up in the same situation you are now.

Good luck!

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Q: When you have legitamite pain and will only worsen in time but use more than prescribed meds What do I do about the severe pain if I come clean?
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