Lyn - I can't answer your questions regarding pain meds given what you've been thru. My husband has only done radiation and chemo and did not have to have any removal of tongue tissue. His pain has been minimal and Lortab has taken care of that so far. However, the anxiety and depression has been our demon. Ativan has helped with anxiety and he's being changed to Lexapro for depression. This disease works on the body as well as the mind. Like you, this talk of being an addict to anything can take a hike - one thing at a time here and getting through it is #1. I'm sure others will chime in soon with advice on pain. Good luck and believe me, I feel your frustration!