im taking 2 60mg,6 roxy15,60mg,2 60mg cmybalta,4 350mg somas and 5 to6 lunesta. i still cant sleep i have the spinal cord stimulator as of 8/01/11 still ne releif from chronic back and leg pain i need help with some suggestions thanks

Has anyone checked your adrenal hormone levels? Both intractable pain and opioids can suppress them right out of whack, which can add to a lot of problems, including the meds not working as well as they could/should.

You can read up on it here:
http://foresttennant.com/

Doc

Here's an example/explanation of what I meant above:

Welcome to NeuroTalk:

I really don't think it is safe to take 5 or 6 Lunesta a night.

Taking opiates long term has been shown to increase the number of pain receptors in the brain. This is sensed by glia
which are the brain's support cells.
Here is a typical paper explaining this tolerance and it uses morphine as an example:
http://www.anzca.edu.au/fpm/events/f...tolerance.html

So I am sorry that there are no easy answers for you.

One avenue to explore is Vit D testing. There are new papers showing chronic pain patients are typically low in Vit D...and by raising the levels in the body some pain relief may be possible and even lowering of pain medication dosing.

http://pain-topics.org/clinical_concepts/vitamind.php

Your doctor can order the testing for you, so you can determine how much to use.
For more information see my Vit D thread here:
http://neurotalk.psychcentral.com/thread92116.html

I'm awake at 2am again! with high pain levels and joined here for support. After 5 yrs of a medical merry go round a peripheral nerve stimulator implant and every treatment available I'm going stir crazy. Been on opiates for 4 yrs and hate them and pain still is going up- last month had a full medical check at Vit D is dangerously low! Then I read this link, of how I wish I knew the answers