William,
Welcome to NeuroTalk
I have been a chronic pain patient for many years, and I have been taking meds for many years, and I deal with tolerance issues too.
For me, I have found that switching back and forth between 2 different medications helps a LOT. I have switched back and forth between Percocet (oxycodone) and Norco (hydrocodone) several times - usually every 6 months I switch meds.
Switching helps so much with my tolerance issues that I have been able to stay on the same dose of percocet and norco for years. When I start becoming tolerant to one, I talk to my doc and switch to the other, and we have been doing this for years, and I have not needed a dosage increase in a very long time.
Hope that helps.
Liz
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The greatest difficulty lies not in choosing between self-interest and the common good, but in knowing the difference.
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