Quote From: juanthelpI have a legitimate back injury that is has been constant for almost 4 years. I have had epidurals, physical therapy, accupuncture, tens, pain patches, and the problem-vicodin and soma. I do not make up pain to get more meds. I only take what is prescribed. I do not doctor shop. My concern is that I feel that I take too much, the prescribed amount. I try to cut down but have withdrawl syptoms and pain so severe that I consider going to ER and wish I wouldn't wake up.  
The meds make me groggy, grouchy, and not who I used to be. It also is probably because of pain and depression as well. I want to have a baby so besides wanting to get off the meds for myself I need to for the baby.  
 
My major concern is with a chronic degenerative back condition from my neck, mid-back, to lumbar. It is difficult to do typical daily activities (yes, I still want to have a baby-I have support)! I do not know what is done for people that have gotten addicted to pain killers that need them. I am very fearful that if I talk to my doctor I will be sent to rehab, which I would like but I am scared about the pain without the medicine. I feel like it is a double edge sword. I do know that if I get pregnant, there will be no question that I will have to stop. So I may need advice leaving this part out. What does a person with real chronic pain do about addiction. 
I have RSD and am in pain almost all the time. The pain clinic that I am being treated at has prescribed several drugs to help me tolerate the pain. I've also felt that I'm taking too many meds. It is very typical of a person in pain to feel guilty about taking meds because of all of the "media coverage" discussing addiction. There is a difference between addiction and dependence. Addiction tends to be as much mental as physical, where as dependence is a function of being medicated. In other words your body "needs" these meds mostly because it is using them to control your pain.
My solution was to take control of my meds. The Doctors I deal with have prescribed certain meds that stay at a constant level in my body. They call it "base-line" pain relief. They have also prescribed other meds that I can take as needed when the pain is really bad. When we discussed my pain situation, I made it clear that I couldn't/wouldn't be made sleepy, groggy, cranky, etc all the time.
Our solution was to use the heavier narcotics on a "as needed" basis. I found that sometimes I could stretch taking the next one by 15 minutes, then 1/2 an hour. Eventually I could eliminate 1 whole dosing! It made me feel as if I were in control of the drugs and not the other way around.
Every time I can can "skip or stretch" is a personal victory for me. There are, however, days when the pain warrants taking the meds "on time", and I refuse to feel guilty about it. On the other hand, there are now days when I have managed to go a whole day with a single dose.
Most of us in chronic pain do not like taking these meds, but we must accept them and use them as tools to control our pain, and as tools toward a better quality of life.
Good Luck - and I hope this helps....