My response you quoted what not only to you and if your on a medication if dropped its for one of 3 reasons either its effectiveness wears off/ no need for it, your allergic, or your doctor feels your gaining to much of a dependence or adverse effects from it. Dilaudid is another potent drug from the opiate class. 4mg of Dilaudid is equal to that of 20-30mg of Oxycontin so one can quickly see with higher dosage you exceed Oxycontins strength. Dilaudid as well has a longer effect over the day then Oxycontin. A lot of RSD patients find relief with use of this drug. Methadone is another and is extremely potent it may take longer to effect but is worth it completely. Think of it as a chart at the top you have methadone and then under you have Dilaudid in higher doses as well as higher end Fentanyl (patches and pump) then Oxycontin 80mg. I have been in this field for over 7 years now and have been to quite a collection of specialists as well as through the med line. In regard to the point of whose fault it is while its reckless and childish of the abusers its the FDA that needs to be responsible, just because people abuse items does not mean they(the addicts) should be the ones we base our choices on. As the FDAs responsibility is to take care of us not the addicts. The problem is while physical therapy and no medications does work well in some cases and those others that can get away with blocks, they are a world of difference from those of us with internal and internal full body. Once your RSD reaches the point of control over your body even to the point of causing respiratory failure there is no question that meds are a must its just the hard job of trying to find a level that works enough. Ketamine is a complete joke as most of us know. If you can work with nothing I'm extremely happy for you gabbycakes seems your a fortunate remission, but unfortunately not all of us have that ability.