A couple of weeks ago i went to pain management app... I told the Dr pain is worsening and because of this he is now refering me to an opiod clinic to talk to someone about coming off tablets. As morphine not working and rather then up doseage best b to come off. I take tapentadol 200mg twice a day an oxycodone 40 mg twice daily. They are 12 hours slow release has got so bad i take more in between.