I am Josie and I am an addict and chronic pain sufferer. I am hoping to find friends here that have similiar problems as I do. I am in recovery from opiate abuse and unfortunately I have severe chronic pain that requires I take opiods on a daily basis. I have a sober friend holding on to them for me, they only give me what I am prescribed each day no matter how hard I beg for more on "bad" days. I am having less and less "bad" days mentally, but more physically. I am afraid to tell my doctor that my pain is not responding well to the dose of methadone I am on (I am on 60mg per day, that's 20mg 3X per day). I have been on that dose for about 6 months now, it stopped being effective 3 months ago and its getting worse. I just fear rejection, and possibility of my doctor "kicking" me out of the practice because I am being "difficult". I don't know why I feel this way. My doctor has been Ok increasing me in the past, but has mentioned that she would not like me to be on too high of a dose. I wrestle with my mind, I think on one hand I would only need 20mg more per day that would take me from 60mg to 80mg and it would NOT give me a "buzz", I know fully 100% that I am NOT seeking a buzz, I have gone over and over this. I am seeking more pain relief especially at night. I cannot get thru the night too well these days. I am asking what others think of this from their own experience. Should I mention that I think I need 20mg more per day, or just mention that I may need help in general and see what she says? She knows I cannot take a lot of anti-inflammatories because I have stomach and bowel issues. Maybe I should tell her how I feel and see if she either increases the methadone or maybe adds another narcotic "break-thru" medication or non-narcotic "break-thru" medication (I have tried Lyrica, and Neurontin, Elavil, Celebrex, and Vioxx, with some allegeries and others made no difference, and some made me too tired). Thanks for any input.