Re: New here, Hello :)
Kadian is a long acting or extended release morphine based opiate . It is used to manage patients who are expected to be on pain meds for a long time....in other words, it is not used for acute injuries....or surgical pain.
Anyway, while I have not taken Kadian myself, I have read post from numerous others who have been on it, who have had really good results from it and the best news is that it is only once a day dosing.
As with any new medication, most PM doctors want a patient to give a new medication or an increase in meds a try for a month- especially with the long acting meds, which need several days or a week to build up to a steady blood plasma level. Then you need some time to adjust to the side effects , if any , of the new med as well. Most of the side effects, sleepiness, dizziness, nausea etc will subside after a week or so on the new meds.
The idea behind the use of a long acting and a short acting or breakthrough med- is to have enough of a baseline ( long acting med) med in your body so that the majority of your pain is managed pretty well ( down to about a 4-5) on the pain scale and the breakthrough meds are only to be used when you have increased activity and increased pain that you can not bring down ANY other way. If you take the breakthrough meds regularly ( once or twice a day, or more for that matter- every day or even every other day) all you are doing is increasing your baseline or long acting dose....so try ice, heat, massage, TENS, over the counter heat wraps and rubs (ointments), anti inflammatories, ( you would be totally surprised who an advil or motrin can relieve a flare up of pain by simply taking it before going to the breakthrough meds)......swimming, stretching, excercise, walking, a warm heated towel or a sock filled with uncooked rice, heated in the microwave for 2 minutes can make a really good, cheap means of making a heat wrap that conforms to your body......
As to other short acting meds, there are several out there but it is best to talk to your PM doctor about which ones he might recommend since he is aware of your test results, your other medical conditions and any allergies or other things that might make one med over another preferable.