krisakira, I've taken pain meds without the side effects you are having--can you try another pain med? One thing that effects my paranoid delusions and hallucinations is the amount of sleep I'm getting--I have more if I'm getting less sleep. Is there any way possible you can take the pain med after you wake up in the morning or at night when you have had several nights of good sleep? I know its hard to deal with difficulty sleeping if you are in pain...I don't know much to help you on that--the only thing that helps me sleep is restoril and seroquel. I take them at the same time at night--right before I go to bed. I turn off my computer, take my meds and go straight to bed before the sleep meds or/and the pain meds have a change of kicking in and making me delusional. Sometimes that does not work and my bad thoughts wake me up but most the time it works. One thing I've noticed is that I have more dreams--sometimes nightmares from the meds. I think, just my opinion, taking the anti-psychotic with the sleep med and/or pain med helps control things in my head so I sleep thru the paranoia. I hope you can get this sorted out......D.