Im a dialysis patient, with ESRD, I also have polycystic kidney disease (pkd). Ive taken these drugs for pain 7 years now. The pain is getting worse and with having surgeries on and off how am I ever going to get off these drugs. I have very little energy as it is with kidney failure. Ive agreed to go to pain managment to see what they say. I take 40mg of oxycodone sometimes 2x a day (allowed) and bad days dilaudid 4mg along with all the renal drugs, am I just stuck always needing these drugs?