chronic pain
"I have an intraethical Morphine Pump Implant now since 2002.   Hydromorphone was recommended as the 'break through pain' treatment.   I take, typically, a 2mg pill roughly every two to six hours and that appears adequate.   Unfortunately, in times of higher pain, when the pump appears inadequate, I have had to take more of the pills.   The more I use, the more I felt I needed to use them.   When I 'sucked it up' and endured a little higher than usual pain for a day or two, taking less Hydromorphone, I was then able to restart the pills and they had a better effect.   I guess to sum it up, taking a break from the pills once in a while ensured that they were still effective."