Withdrawals or tolerance to morphine?

[Buddysangel]

I have been prescribed opiates since 2002. For severe neuropathy, 9 back surgery and then in 08 hubby and I were in a horrific car accident back in 08... I crushed my ankle, punctured a lung and broke 11 ribs...... I was on 100 mcg fentanyl patches for over 4 years ... they were working Any more, then I was put on 200 mgs morphine sulfate daily... ( 100 mgs every 12 hours). I did that for about 6 months and then had to become sole caregiver to my elderly father who had Alzheimer's... so I "weaned" myself down to just 100 mgs every 24 hours... it was tough but I did it... I must be very honest and tell you that I have never ever... not even once .... took more than I was ever prescribed... and actually tried to go off of it completely( without doctor supervision) and almost died... for the past 1 1/2 years  I've noticed the morphine sulfate is just not working anymore ... I take my meds at 7:30 every morning and by 1 to 2 o'clock in afternoon.. my pain is excruciating and intense, bp is through the roof and heart rate is high...... I start sweating, yawning, watery eyes and runny nose and literally feel like air crossing over my skin is quite painful... I honestly suffer through it and refuse to take an early dose or more of it... I do not drink alcohol or take anything else for pain... ( at one time I was on gabepentin,norco , flexeril,phenergan) I haven't taken any of that in over 2 years now.....  I have just been diagnosed with hypothyroidism as well so I'm gaining weight extremely fatigued and again severely constipated!! My doctor put me on movantik for OIC  but it is not helping and in fact makes my withdrawal symptoms worse so I don't take that either..... so I guess my question is with these symptoms is it withdrawals or have I just built up a tolerance to the drug I am basically stretching a 12 hour pill into 24 hours... or is it just a tolerance or something else that I just recently learned about which is opioid induced hyperalgesia.... I am so confused and frustrated and frankly just can not keep on like this... I go back to my doctor on the 5th September,but I'd like to have a little more info in my arsenal of information to take to him.... I refuse to be given more pills or worse yet be labeled as "depressed".... which I admit 100%... heck yea I'm depressed... but I'm depressed because I battle excruciating pain every single day.... I honestly do not feel I can live through this another day and just wish God would go ahead and take me already!!! I do everything I am supposed to do yet I'm suffering immensely every day and just want it Ll to STOP!!!... has anyone else dealt with these issues? How was it handle? What was your outcome? And how are you today? I NEED to know there is hope somewhere out ther for me .... thank you for any info you can suggest!!