Hi, and welcome! You sure have been through a lot and I'm sure your previous doctor kept good records. These records can be passed on to your new doctors. Ask for your records. I did this when I moved to another state and they gave me copies! Then, I could copy them for other doctors too. This will help the new doctor to see what is going on with you. Some doctors will only fax the info to the new doctor.
Be sure the doctor you go to treats fibromyalgia patients. There are some doctors still in the Dark Ages when it come to this illness. Check to see if you have a fibromyalgia support group in your area. These people would be able to point you in the right direction. Your local hospital would probably know if there was a group.
Start keeping a pain journal and record what you do in your daily life and the amount of pain it causes. This helps your doctor, too. There is a thread called Fibro 101...the second thread on the forum...that has links to a journal and to two pain charts that will help you describe your pain. You can print those charts out and include them with the journal so your doctor can see what you are basing your pain on. Again, this is a great help to them.
Narcotics do loose their effectiveness and need the dose to be raised. This is one problem with narcotics but sometimes people really need them and it sounds like you are one of those. So, it wouldn't surprise the new doctor that you need an increase in the dose after two years. I would just let them know that the narcotic worked so well for two years but now it isn't helping nearly as well as it was. I just bet they will increase the dose for you. I wouldn't go in and ask them to increase the dose. Let them think it was their idea! If they don't mention increasing the dose and the appointment looks like it's closing, ask them how they could help you with the intense pain you are having. I think it will work out fine for you.
Be sure to read Fibro 101. It really has a lot of great information in it and you will learn a lot there. Knowledge is power and we do have to be our own advocates with this illness.
I'm looking forward to getting to know you better. Don't hesitate to ask questions because we are here to help you. Hope to hear more from you soon.
Sherrine