Hi Firegirl,
My heart goes out to you in having to take so many meds to make your day bearable It sounds like you need a re-evaluation of your meds, their interactions..you may need different doses, or a reduction in meds..or a different delivery system (pump), or ketamine infusions..
Have you thought of going to a different pain management doc for a consultation and a different perspective...

I am wondering if you have more than one doctor who may be prescribing meds without consulting eachother..
Firegirl, I too am so concerned about you and I hope there is someone in your life who can help you navigate toward unraveling your current situation and find more comfort.
I send you many many hugs
Hope4thebest