Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To give general information: 100 mg total a day is considered a high dose. This is close to the highest dose. I ve ever seen including most suicide attempts. So, narcotic management is done best by experts in narcotic addiction, such as Methadone clinics. They handle issues with people who have pain also. Other options are in the context of very high doses and most choices would not be safe. Hope I have answered your query. Let me know if I can assist you further.