I see my pain doctor Friday after calling and telling them my meds are not working. I was recently switched to Opana 5 mgs every 12 hours. That was not working at all, so after a phone call they told me to up it to 10mg every 12 hours. This still is not working. I dont want to sound like a drug seeker when speaking to my doc so how do I get this across to him without sounding as so. I have a good relationship with my doctor and do not want to do anything to damage this relationship. I think these meds would work with 2 break through pills allowed per day. At the time I am allowed one. I do fine for the first 12 hours taking a breakthrough med about the 6th hour. Its the next 12 hours that I struggle. I cant just walk in there and say I need more meds, so how do I approach this matter.