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A former doctor of mine was certified in PM & speciaized in treating my type of pain - he is also a teaching professor at one of the most well known NYC Medical Schools & one would think he would understand the need for a gradual taper.
He put me on (at his suggestion, not my request) 90 mg. morphine with 180 10/325 percocets for breakthrough each month. After a few months he decided that I didn't "need" narcotics although they were working well & cut me off with just a week's supply of the percocet to get me through. He also wrote scripts for Neurontin & prednisone to replace the opiates, neither of which worked for me in the past. Unfortunately I broke down in his office, upset that meds that were FINALLY working for me were being taken away...my doctor saw my emotional state as "another sign of addiction".
ALWAYS have a back-up plan - this was done to me a couple of weeks before Christmas.