i cant deal with the breakthrough pain anymore. its keeping me up at night, i cant sleep it often brings me to terrible bouts of tears and wishing i could scream becaue i hurt so much. my doctor has me on 150mg ultram BID but its not enough, it helps a tad but that is all, my system got use to it super fast i went from 50mg to 150mg within a few months time.
my whole intire body hurts,my legs are affected most, then my back w/ the muscle spasms wich increase the pain, then the rest of my body.
my dr wont give me anything stronger then ultram, my fiance also told me that my dr said that my insurance wont cover anything higher then ultram for me?? im so confused on that part. i want a new dr but fiance is so attached to this one. i been through most of her collegues as well, the only one i loved was fired

.
ive taken several types of tylenol and other OTC meds ontop of the ultram to boost it per drs orders and it helped until my body adapted.. i seem to adapt so fast to meds that they stop working after a week. Its like i was just taking sugar pills.
ive been to the er twice this last month for pain and they tell me they are giving me pain meds but they then give me ativan instead to relax my muscles (yeah right like thats gonna work) i jus twant to yank my hair out and let off a huge scream just to get the frustration out!!
what should i do? ive thought about a pm dr but whats the use if nothing is covered. im too anxious to call up medicaid and ask as i often stumble over words and slur and dont hear what bein said to me. People have even hung up on me when i asked them to repeat themselves, its just so frustrating.
I am dx with fibro w/ possible lupus (dx then un dx'd cuz blood went neg and dr stopped testing after that).
plese please help me im at my wits end and need some sleep