When I went to the doctor today and told him that the ms contin was like not working at all, and I was sorry for saying the others were not working because now taking the ms contin I realize they were helping a bunch. I have not been in this much pain in a long time, maybe never I don't even remember hurting this bad before I started the pain killers. He has now given me Dilaudid 4 mg ever 4 hours as needed and said if this works then he will give me jurnista the extended release. Does anybody know if this is a very effective drug and the dose seems high enough for chronic pain patients. I can start it later this evening. I am in so much pain and have been for two weeks so how long should I give this to get it under control before I decide it does not work. He told me it would take a little longer than usual because it is so out of control. Thanks for the info!!

Take the diladid as ordered, try to take it every 4 at first until your pain is under control, then if pain is acceptable, try backing off slowly, at night first, try to strech to 6 hours, if this does not work or pain is not well controlled by MONDAY, call your doc and let them know where you are at. It helps to keep a running log of your pain rate and description, times you take your meds, and if you have any relief. then you have proof and a log of the meds effectiveness or ineffectivness
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Dilaudid is hydromorphone. Stronger per mg than morphine(ms contin) if your doc didn't do the conversion right it could be a matter of dose.I don't know your morphine dose. A good combo is ms contin for most of the time and dilaudid for breakthrough pain as it is fast acting as well as short acting. Good luck...I feel for you Brian

The ms contin was 30 mg and the dialudid is 4. The dialudid helps better than the ms contin did but at night when I go to sleep I go about 8 hours and then the pain is waking me up and it takes half the next day to get it bearable. Right now I am in a flare and nothing seems to help. I have RSD in my foot and now my neck is in crazy pain running up the back of my head and down my shoulder. I am stressed it is the weekend and the ER just treats me like I am a drug addict looking for a high. So I guess I will try and make it till monday if possible. Thanks for the info.

I was taking 6mg of diladid every 3 hours and I have a 25 McG fetanyl patch. I have rsd in my right side of my body and back, and I had my wisdom teeth out over a month and a half ago, and am still taking this high of medication including my other pain medications. If you have any other questions please ask!