At one point I had enough with my doc refusing to increase my level of methadone, even after trying every med that might work for the fibro pain. This resulted with me taking an obscene amount of meds, and feeling very tiered all the time, even when taking Nuvigil.
As a result, a couple days before my doctors visit, I also made an appointment for a pain clinic in order to get a second opinion. I printed out my medical records that included the 35 tests (30, 35, in that general range anyways) so that the doc had all the tools needed to make a proper assessment. He hated the idea of using methadone, and wanted for me to switch over to suboxone or oxycotin. He wrote up a script for the oxycotin (with the agreement that should I decide against his recommendations, that the script would be returned.
I wrote up a letter for my other doc, presenting him with the second opinion as well as how the meds that only kinda helped made me drugged out, as well as not providing me with the level of pain relief that I needed. I also on into a detailed account as to how the current pain and meds was creating problems at home in addition to work helped illustrate the serious nature of this problem.
At the end of this all, the doc increased the methadone and we very slowly stopped many of my meds.
My overall impression of the pain doctor that I saw was that he really didn't know very much about fibromyalgia. I say this due to the fact that while the oxycotin would make the pain easier to deal with, it nonetheless would have any direct impact on the level of pain. Methadone, Ultram, Lyrica, Cymbalta, and many others do. His fear of Methadone indirectly told me that he more likely than not does not really understand the mechanics of that drug, and without a firm understanding, it's easy to accidentally overprescribe and kill a patient, even at low starting doses with opioid nieve patients. The guy was super nice, but just didn't seem like a person who understood fibromyalgia. As the others have said, it depends on the doctor really. Hope that this is of some help to you!