My wife has mid stage dementia and is getting weaker and less mobile. She is 82 with very bad spinal pain and has begun to moan and complain of pain constantly. Getting out of bed is now terribly painful and she needs my help. She is on 3 narco 7.5/3.25 tabs and 3 gabapentin 100mg daily. Her ortho clinic will not increase narco but has increased gabapentin another 200mg. I understand that narco reduces breathing, but I think she needs a bit more, ie one every 6hrs instead of one every 8hrs. Does anyone have experience with independent pain clinics?. Will appreciate any responces.