Since insurance has narrowed the long acting drugs they will cover down to very little, I take long acting morphine
and hydrocodone for breakthru. When I start seeing signs of tolerance, we switch to xtampza
and Oxycodone for several months then right back to my usual. Works great.
If I had to guess I would say 15mg long acting morphine was not enough for you. 30mg would be worth a try. I know lots of people do well on the fentanyl patch. For me it didn’t feel consistent.