Conversation: The conversation between human and AI assistant.
[|Human|] I am living on pain meds and I hate them, I want epidural injections and am waiting for my MRI tomorrow, also I have emphysema I take Theophelline 3x 200 ml do U know of a better pain med than percocet, I refuse to take morphine or oxy, also there is a new pill for breathing do U know of it ? Anything will help me// TMJ due to broken jaw this I realize I will have to treat with soma forever, panic well controlled with xanax TID 1.o mg
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test) to know the severity of emphysema. As treatment of emphysema is based on severity, PFT is must. And first line therapy for emphysema is inhaled bronchodilators and inhaled corticosteroid. Inhaled bronchodilators in the form of Long acting beta 2 agonists (LAB) and anticholinergic. They will improve lung function and thus give you more symptomatic relief. They also act directly on lungs, so systemic side effects are avoided. And they are far better than theophylline, so it should be replaced by inhaled treatment in you. Better to consult pulmonologist and start more effective and appropriate treatment.