I have RA, fibro, and two herniated discs in my back. I had had back surgery, also.
I take pain meds, I know some people whose doctor prescribed Ultram, then hyrdo for breakthrough pain. I was prescribed ultram a while ago and it did nothing for my pain, but did make me a little sleepy. I take hydro, I could not have a semi-normal life without them. I have never taken more than the recommended dose, I figure it is the same with being a diabetic and having to take insulin to control their disease. I also am allergic to all anti-inflammatory medication, which also makes it hard to treat me without pain medication. I do take methotrexate weekly and it helps, but I still experience pain with it, my fibro and my back.
Bless all of us in pain and help us have a good day, and to appreciate what we still can do.