Hi lisa, You have some problems I have heard of and some problems I haven't. But there are lots of folks in pain here and lots whos' only way to manage their pain is opiates.
After 3 failed surgeries, years of pain mnagement without opiates I found the right clinic and right doc that will treat my pain. After 4+ years on oral meds I had a pump implanted that delivers morphine and baclofen.
So pain wise, we have that in common and if your your looking for folks dealing with the same daily struggle, you found us.
You may be unique in that MSContin lasts 12 hours for ya, The liquid orals come in several strengths, 20mg per ml, 5mgs per ml, etc. I would think with twice a day dosing your using the stronger solution to bridge the gap in between doses. Maybe you need the larger dose in the morning because by the 12 hour your pain is out of control.
One of the basic principles of long acting meds is that it's easier to keep pain in check than it is to bring a high level down. This is usually achieved with a more constant serum level so the pain doesn't spirall out of control. But if it works for you, I won't argue it. LOL
You defintitely want to try to educate yourself about the meds your taking and the options you have. Ask questions, do some searches. The internet defintitely levels the playing field when it coms to basic understandings of how meds work and phylosophies of PM and alternatives to opiates and on and on.
As far as meds, most every manufacturer has a web site, and on that site they have a product list, on that page there is usally a link to the full prescribing info if you were curious or wanted info about a med. If you want personal experience, we have that too, but what works for one doesn't always work for another.
Welcome, Dave