I was diagnosed in December 2007 with olfactory neuroblastoma. By the time I was diagnosed (as I thought it was menopause), it had spread into my throat and also wrapped around my artery by Januray 2008. Inoperatable as the veins had started to reach into my frontal lobe. As there was not a lot of cases to go by and the best being chemo and radiations, started treadtements of both Feb 25 2008. Chemo was too hard on my body after 3 sessions and stopped. Radiation went thru till April 5 2008. 2011 March after a broken ankle and kidney stones was diagnosed with bone cancer in 12 different areas of my bones. I feel very fortunate as they did not expect me to be here for this length of time. I am on tramadol 37.5 /325. I am finding the pain is quite a bit with on going headaches, usually waking up with them. Sometimes they will clear up but sometimes come on so strong that I am vomitting with very high blood pressure which I proceed up to the clinic for the shot of morphine along with antinausea mediation. It has been a bit difficult to recognize when to take painkillers for me as it comes on so fast. There is a constant ache in my hips which is quite wearing, along with severe pain in my sterum. Am just trying to get some ideas of what other people are using before the pain gets so it is uncontrolled. I am definitely not complaining just am so grateful I am still here. I do believe the ache tends to wear me out and or I guess this feeling of being tired all the time is normal. I definitely am not worried about getting addicted as just want to make sure that the pain doesn`t show for myself along with family and friends to see. This has gotton quite long winded. Just trying to figure out the best medication and figure I am getting there but...any suggestions are very much appreciated as they really don`t tell me much even though I am very grateful to the Drs I have and the care I have been given.