I am new here, and I have only been in pain management for about 5 months. My question is that I am having problems with the opana not working for me. I was initially started out at 5 or 10mg, not sure, but I complained that it wasn't working, so I got bumped up to 15mg and then a third time to 20mg every 12 hours. I also take percocet 10/325 for the breakthrough pain. My dilemma is since I am not due to see the PM doc for a month and I can't stand the pain should I call the office and ask to be seen earlier. I know he was going on vacation, but other doc's are in the group, and he may be back for all I know. I feel like this is a dumb question, but PM seems to have very specific requirements and I don't know if that is something they allow. The office I go to seems very nice, DEA signs posted everywhere and notices all over saying they do random urine screens. I have all my meds and can bring them with me, I don't abuse them, this opana is just not working. It costs a fortune too, so to pay what is equivalent to a car payment every month and be in this much pain I am very frustrated. To any of you out there that have been in PM for a while, what is the procedure you follow if your meds aren't working? I figured I would suffer it out until I go back at the end of November, but my husband says that's crazy. I want off this medication all together, I don't think bumping up the mg's anymore is gonna work. This med does nothing at all, never mind 12 hours, I don't think I get one hour of relief at this point.