Jenelle,
Best thing is Honesty.
Be straight up with your doctor.
You might print out one or two notes from this thread.
If you doctor is any good, he KNOWS that RSD, is worse some days than others.
So, simply ask him/her, would they like to prescribe an extra pill or more for "breakthrough" pain during the month, or How do They Suggest Working It?
The Question, I think is best.
Just because my doc did one thing, doesn't make all the others comfortable with that.
And, I personally don't see any reason to use any different medication for breakthrough pain, if you're using a usual enough level of the first. (Was I clear on that?)
In other words, all you might need, is another pill of your regular pain control med.
PM me, if you feel you must.

Then to do that, say you're prescribed 90/month.
So, You get Breakthrough pain once/twice a week.
Should he prescribe an extra one/two per week? (That's the Question!)

Or, should you build up, a bit, to get by?

My doc, was kind enough, since I went from 12.5 mg of my pain med, then after the 2nd accident straight to 100mg. (remember, that I was started at 60mg. and worked myself down to the 12.5), So, now I get 60 mg/day.
I might not take all that.
I might be able to take a half of a pill, some of the time. Suffer a little... Yes?
And, that's just what I think my doc is comfy with.
I could take them all!
Easily!
Why feel ANY PAIN?

Well, I could give you several reasons!
But, it's better, imho, to take the least of meds possible, in concordance with your doctor!
And, You'd better make dam sure well, that you've got a smart one!

I wish I could say more than this.

Ya'll be well.
I REALLY need to get some sleep.....


peace on all,

Pete
ASB