Hello, I am in serve pain and because of my insurance and my Dr.is overly cautious because I live in Florida. We have talked a few times, in regards to my pain is not being managed. And Now it is so severe I am unable to sleep sit or even lie in bed. I have Fibromyalgia, degenerative disc disease narrowing of my spinal column. Desinagratig nerve disease, degenerative joint disease, arthritis,serve migraines, with the octurnal migraines as well. My most recent injury was breaking my wrist, which required surgery and metal to stablize my arm. Please if you can help me I would really appreciate it. I am 47yo and like to live an active productive life style. I have taken Dilaudid before with no side effects or withdrawal.