There are a host of other narcotic medications available for acute pain i.e. Percocet, Vicodin but these are not meant to treat chronic pain. I was on T&C #3 and #4 for 15 years but now on buprenorphine patches that I change every 7 days and it provides 24/7 pain relief. It works differently than traditional narcotics by effecting different nerve receptors in the brain and no negatives for your liver or kidneys. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4675640/