Well Tim, admitting you have a problem is the first necessary step. The next is doing something about it. I would suggest talking to your Dr about it, making sure he understands that the Vics are a problem for you. Whether you are on enough to require a medical de-tox or if he'll just refer you to an outpatient therapy I can't know. In the end, you'll need to admit this problem in person to someone, be it an NA meeting, a chemical dependency councilor or to a dr. Brace yourself for that - it can be humbling. Remember - there is nothing that says we can't be both successful and humble.
Good luck, and know that others have kicked opiates - you can too!