sounds more like a tollerance issue, i know you can manage without pain meds with fybro
not sure about the pain that comes with lupus, but the meds you mention are given to terminal patients,like people who cannot get out of bed, i am surprised you found a doc to give you dilaudid for migranes which can be managed with non-narcotics
if i was in your situation i would medically detox, give my body half a year or so to start leaning how to manage pain without all those drugs
pain pills cause rebound pain and headaches, maybe most of your pain is due to the opiates you are taking
all pain meds stop working after a while, then you have to move onto something stronger or get on methadone or suboxone, then wait for those to stop working
This discussion group deals with getting off the drugs. There is a pain management group here: http://www.medhelp.org/forums/Pain-Management/show/53
Ask your question there...good luck.