I would imagine she is in withdrawl to a certain extent. WIth drawl alone will cause pain to intensify but it is temporary. Clonodine can help ease that. When I was coming off fentanyl patches I did it by changing to liquid morphine and decreasing it by 1/8 to 1/4 teaspon every week for a few months. Even at a slow titer I felt the effects. Cutting her by half would be uncomfortable. SHe is however on an extremely high dose of oxy and is probably better off in the long run to decrease it. They couldn't get the pump running on her current dose of OXY, that woudl likely depress her CNS to the point of needing a respirator or worse. They have to get her blood levelss down in order to introduce the pump which is going to blast her CNS because it is so concentrated. She sounds young......how old is she?