I asked this question too because it is something I have been trying to reconcile: should I more aggressively try to whittle down what I am taking, even though somewhat smallish amounts (1/2 Tramadol on about 3/4 of days, 1/2 Xanax every other day, about). I agree with what @Vedra and @Cactusflower said and would also add the following, from at least the books I have read:
- Schubiner ("Unlearn Your Pain"): says it's ok to stay on whatever meds you are on until you can reduce the pain via TMS methods, then can titrate down.
- Georgie Oldfield ("Chronic Pain, Your Key to Recovery"): ditto what Schubiner says.
- David Hanscom ("Back in Control"): says it's ok to take some meds particularly to get to the point where you can get good sleep, but advises stay with OTC if you can (which would be anybody's advice I suppose).
- Alan Gordon ("The Way Out"): doesn't explicitly give advice about meds, but does have a whole chapter in the Appendix about the dangers of narcotics and society relying on them.
- Steve Ozanich: ("Great Pain Deception"): seems like he never really says exactly if he took them, but as above cautions about long term use.
- Claire Weekes ("Hope and Help for your Nerves"): the book really is about nervous illness as opposed to chronic pain or TMS, but most of the methods are extremely pertinent, since anxiety and pain are so strongly related. She actually advises that is a good thing to use"sedatives" until you can get yourself calmer via other methods, but this was also written some 50 years ago.
But yeah it is a personal decision that depends on a lot of things, and consult with your doc obviously. I use them mainly as a way to get more calm, Tramadol having an anxiolytic effect on me, doesn't actually do much for pain (for me, at these low levels).
Hope it helps.