I'm am trying with my physician's help to go as low as I can or even get off Kadian cause of its many side effects! At one time with another pain dr. who overdosed me big time, I was on 200 mg. Kadian per day. Now I am on 20 mg. Kadian per day! I have bilateral brachial plexathapy if I spelled it right from a work injury and multiple surgeries with complications! Has anyone else been successful at this? I would love your feedback!