I'm sure sorry to hear that you're having so much trouble. I'm having
sympathy pain as I write! (good grief!)
Has your doctor by any chance discussed the possiblity of using a PCA?
(Patient-controlled analgesia). It allows you a much more accurate dose
with 100 times better effect. It means you have to have a small IV
access, but the benefits are phenominal! It gives you a constant,
measured dose which will work for you at much lower levels, AND it can
be programmed for a "booster" dose for times when your pain is somewhat
worse. This allows you to function at a more normal level and yet have
just enough coverage to delete or greatly decrease your pain.
If your doctor isn't aware or willing, you do know that you are the
employer. As such, you make the decisions about your care and who works
for you....that is, unless you have an HMO. And that only means you
have to fight to be the boss. LOL Best of luck and I'm going to say
some prayers for you right now. A jump from 60 mg to 80 mg. is too
much of a difference. NO wonder you're falling asleep...not to mention
that your tolerance level will increase at a more rapid rate. You don't
want that if you can help it.