Hi Liz!!
Have you ever tried Norco (hydrocodone/apap)? It comes it different strengths. I used 10/325 and take 1/2. If it isn't helping enough in 30 mins. I take the other 1/2.
Dilaudid is also good (hydromorphone). This is my main med.
Good Luck!! Changing, or adding, meds is my worst nightmare.
ss