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This is Dr. David
there is no maximum dosage for pain pills.
opiate pain medication levels vary from patient to patient.
patients over long periods of time can become tolerized to opiates and need higher and higher doses to have the same effect.
sometimes they need a drug holiday to come off their opiates like methadone or percocets to help correct their opiate tolerances.
I don't understand your history.
did you injure your thumb recently or was that in the past?
did you get a prescription for 200 percocets recently? or in the past?
are you doing to a pain managemetn doctor and also a methadone clinic separately? two different places?