In addition to diclofenac and paracetomol (& occasional diazepam for muscle spasms) I also have been prescribed dihydrocodeine which causes very dry mouth and throat. I use my voice in my job and so this is not good. It's really important. I get hoarse very easily just from speaking. I'm trying to taper off the dihydrocodeine altogether (down to 3 a day) but have reached that point where if I cut down anymore I feel I won't be able to cope with my pain levels. It would be great if there was another med I could take as a substitute just to help the transition. I'm seeing my GP next week to discuss this but before I go, I wondered if anyone else out there had experienced these symptoms & found a solution & could give me some ideas? I've tried tramadol & it had no effect on my pain at all! I'm already taking max daily dosage of diclofenac (150mg over 3 separate doses) & 2xparacetomol four times daily. I'm taking these meds after a knee replacement & also chronic back pain. Thanks in advance for any thoughts!