Thanks RUReady. I felt that if I had stayed on the same meds that I would not been here. I thought the meds were not working but they were but not to a totally comfortable level. This ms comtin on the other hand did nothing for the pain and then is when I realized the other was working because now I was in severe pain. When I told my doc this he decided to go back to something in the same family of drugs I had been taking that had been working. Thanks for telling your experience of dilaudid. It helps just knowing how it has worked for others and hoping it works for me.