I have had Lupus for 3 years and have been on various meds like Plaquinel, Prednisone, Methotrexate, Hydrocodone. REFUSE to go on steriods again due to very nasty side effects. I still take plaquinel and hydro. My problem is that the hydro doesn't work as good as it did when I first started taking it. I am going to a pain mgmt dr. next month and would like to try something different for pain. I do not want to be labeled as a "drug seeker" like so many other people I have talked to. I just want my pain to be manageable. Any suggestions on what I could ask the dr. to try?? Maybe the next step up from hydro to manage the breakthrough pain?? Thanks for your advice!!