How to get out of a car title loan

Is refinancing a title loan a viable option to get out of debt? <svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 25" class="_root_1u45k_1 _m_1u45k_16" aria-hidden="true" focusable="false">

Are there any alternatives to paying off a title loan in full? <svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 25" class="_root_1u45k_1 _m_1u45k_16" aria-hidden="true" focusable="false">

Can I negotiate with the title loan company to lower my payments? <svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 25" class="_root_1u45k_1 _m_1u45k_16" aria-hidden="true" focusable="false">