<s>[INST] I am a chronic back pain and fibromyalgia patient. I m on a 50 mg duragesic patch, norco 7.5 and neurontin 600 mg. I ve been on these meds for about a year and they just are not controlling my pain anymore. I am wandering if there is something else I can ask for that will help me better. I am so consumed with pain that I can t enjoy anything with family. Please help. I have a strict Dr and he is rather hard to talk to. [/INST] First you had not mentioned your age which is very important in case of back pain. For treatment, you can take some painkiller like biozobid-plus or zerodol-sr along with calcium supplements like shackled or toscal-gem once daily. You can use holdup gel or powergesic-plus gel for local application. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface. </s>