I take main pain med Oxycontin 60mgx3 every 8 hrs, and break through pain med Norco x2 every 4 hours. Along with the pain meds I take Soma and Bacoflen muscle relaxers and Gabapentin nerve pain medication. My question is; my pain meds don't seem to be working like they used to? I know I don't want to up the Oxycontin unless I have to and my last resort. I wondered if there is another breakthrough med that has worked for anyone when Vicodin or Norco has failed them. I know it isn't working for me like it was before because I have been taken them for about 2 years. Because of this my body has adjusted and is used to them; and I can't up my dose due to the toxins with the Tylenol to my liver. Any help would be greatly appreciated, I go see my Pain Management Doctor this coming Thursday (Feb 18) and he is real easy going and would hear my input if I knew or had one?!?! I did try a new med 2 months ago.....he had me try Nucenta which is new and is also an opiate based drug. It is new and they don't regularly carry them in the pharmacy, I had got 2 fills and both times had to wait forever for them to be shipped and come in and be ready for me to pick up. They didn't seem to work any better than the Norco either. So some other options or any opinions would be great......thanks in advance for your time in reading this very long post!!!!! :?