A note of experience.
I was on opiods for a zillion years. 2 years ago I weaned off of everything! My back and hip pain became more tolerable and even decreased. The more opioids you take the more you need.
With everything you’re taking I can see where it helps but it looks like it’s overkill. Are you managed by a Pain Mgt MD? See one if not for your liver’s sake.
Beautiful well wishes to you. 🌻

Honestly, ive been on alot of antidepressants. Tried Lyrica and cymbalta. Made me either suicidal or homicidal. I knew its not for me. I do take tramadol. Be careful with that .And i smoke weed from dispensary.

I'm only just functional but with lesser pain when I take Paracetamol, Gabapentin, Tramadol, Nortryptiline and Oxycodone all together and without missing any doses. If I miss a dose of any ill be in a lot of pain.

For me, it’s Nucynta but I have to use it sparingly as it is an opiod.

CBD oil capsules. Seems everyone so far is using pot in one form or another.

I second not using tramadol. Felt drunk for the week I took it.