FYI all,
I'm not prescribed anything for breakthrough pain, that is considered my responsibility.
In other words, on my good days, I have to save some pills, which I do. No problem.

But, I'm on methadone 60 mg. (all per day)
Cymbalta 60 mg.
Diazepam 20 mg.
Zanaflex, up to two (never) I think that's 8mg? I usually take half of one bedtime.
Zonegran 100 mg bedtime
Namenda, 20 mg bedtime
Lidocaine patch/ prn, ,(never used a whole one) cut them for neck, low back and forearms / hands.
imetrex / Treximet / maxalt mlt for migraine, prn.

aricept 5 mg AM for TBI.

Miralax half recomended dose on bottle for side effects of methadone.

I stay away from caffeine pretty much. Green/White Tea is good.

That's why I recomended "Aleve" for breakthrough pain, on those days when NOTHING seems to be working... It's just a "change up" pitch at the pain...
Wether it's the temp / humidity, the news, whatever. Something sometimes, just needs to be changed!

feel well all!

Pete
Asb