They prescribe painkillers based on your pain level. If they're not working for what you're feeling you could go back and ask for something stronger, but stronger painkillers tend to have more side effects and are generally more addictive which makes doctors prefer to avoid prescribing them unless it's necessary.
I went through most of the common heavy painkillers (Hydromorphone, Oxycodone, Tylenol 3, etc.) last time I had surgery. Never noticed any real side effects other than the usual stuff like feeling light headed and never had any kind of withdrawals. The only time I truly felt high from them was in the hospital when they'd give hydromorphone (essentially stronger heroin) through an IV or a shot. It hit so quickly that I felt a rush of euphoria which made me quickly understand how people get addicted to opiates.
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