Middle of the night angst

I am in so much fucking pain. It's less than two weeks shy of a year, and it hurts. It hurts a lot. The drugs aren't enough. We're going to have to up the fentanyl. My doc is looking into which tricyclic to have compounded as a topical, and I may start Lyrica. Right now, 3:00 in the damn morning, I am in so much pain I can't sleep. Damn it, damn it, damn it.