Re: Hello this is my first post!
Hi, welcome, nice of that wall huh, sounds like not so much.
You never want to be in a situation where your relying on your breakthru meds as part of your scheduled maintenance pain care, it's not what they're for and not what they do. If your pain is that out of control, you need to talk to your dr. about increasing your Opana dosage. Rule of thumb when your doing the LA/BT combo is, control the pain with the LA meds, use the BT meds sparingly when needed for flares.
About the only thing that might be stronger that Percocet for BT pain is Dilaudid, it's a toss-up. Some folks also get better relief with straight Oxycodone instead of Percocet, I always have myself. With the straight Oxy, it would be 10 mg. pills. But as far as strength your pretty much at about the "premium" BT med. Your Dr. is most likely not going to increase your Percocet monthly amount, so you can't count on increasing it to control your pain.
The other issue you've got to deal with is that in a month you've got to deal with post op pain, if your maxed out on BT meds and LA meds now, that will be a nightmare, and I'm not trying to scare you here. You need to get with your Doc and get this worked out soon, so that your system can get adjusted and have plenty of time before surgery.
Right now you kind of seem to be in a "flip-flop" situation with the meds, you just need to "flop" back around and get to relying on your LA meds again and not your BT meds. You don't say how much Opana you take, but if there's room to increase your dose, that would make more sense then trying to control the situation with more or different BT meds.