Hello everyone my name is Wendy and I am from Raleigh,NC! I will try and make this as short as possible. I have dealt with chronic lower back pain for about 5 years and out of those 5 years I have taken pain meds the last 3 years. It started off with lortab 10's 4x a day then on to oxycodone 10/650 6x a day and that was working great and the pain was gone. I decided that maybe I should go to a PM Dr since this wasn't really my family Dr's expertise. Well I went to my first appt on 4/10 and we talked about getting lumbar facet injections and we also talked about water physical therapy. Then we talked about the meds very briefly and she said she was going to put me on Kadian 20mg twice a day, so I have been trying that but I don't feel anything, no relief from the pain, I am very sick to my stomach and have had a darn headache since I started it and I am still having to take tylenol and ibuprofen throughout the day. So I called them back and they said I could come in and pick up a prescription for Opana er but I have not been impressed with what I have been reading about it and I am afraid to speak to the Dr about wanting something different or at least a med for break though pain if I take the Opana, I don't want her to think I am abusing them since I want to ask for a certain pain med, should I not ask is that wrong to do, is it only up to the DR what I can take? One last question: I have heard about a fentanyl patch, maybe that would work and I was thinking of asking about that? What do u all think, I need pain relief and right now I am in a lot of pain and I shouldn't be taking all these meds :''( Advice please! Do u think I have built a tolerance since I was taking the oxycodone 6 times a day for about a year.