I hear your frustrations
I haven't read thru your older posts so I'm not sure of your exact pain issues.....but just wanted to share with you that, yes, I understand your 'concern' Re: being labeled a seeker...
and this totally sux doesn't it!
If you feel comfortable with your pain doc and you've tried some of his/her initial painfighting tactics....., you shouldn't feel paranoid of wanting to have something on hand that would directly target your pain, especially when flares happen.

So, if several things have NOT worked for you,
One practical way might be to say something along the lines, "I've spoke w/my pharmacist and he mentioned 'such-and-such' has been proven successful w/many people and suggested I ask you about it...."
In my case, I couldn't seem to stay above my pain spikes, so my pharmacist mentioned 'extended release' pain med, so that's how i presented it to my Dr. And from then on, he's worked wonderfully with me in trying different meds.
Course, all Dr's are different and I think the thing they get red flags with is when a patient walks in their office the first visit asking for a particular pain med by name.

My biggest pet peeve are medical professionals with an attitude about pain meds (thanks to all the drug abusers).
Pain meds are here for a REASON. And unless there is some obvious reason for the Dr to feel uncomfortable with it (needle tracks up and down the arms) then they shouldn't hold back when they have a patient paying for all these office visits, trying other things first suggested by the Dr...
You deserve a quality of life and if you establish an open, honest relationship with him, then you should be able to have access to meds that could possibly help you aquire that.

Just my 2 1/2 cents....

PS: I visited your profile page and noticed you like the mandolin.....cool! Are you still able to play? I used to play alot of guitar.....good therapy.

Also wanted to mention I enjoy your wit and humor
I've laughed at several of your humorus posts!
Now THAT's 'good medicine'

Best wishes

Rae