I will be discussing this important subject quite a bit in the next few months.  In addition, we will have a lot on the very important subject ‘What to do when Nothing works’.  Long-acting opioids (Kadian, methadone, oxycontin, MS Contin, Duragesic patch) sustain relief, for at least 6 months, in about 17% of patients put on them.  For those patients, they can greatly enhance quality of life and functioning.  While 17% may not seem too high, it is actually not bad considering that, in this population of headache sufferers, basically nothing else has ever helped.  L.Robbins

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