All I can say regarding your post is that 2.1mg of dilaudid is still a modest dose. I think the 15% increase provided helped for the short term, but still is not an adequate dose to relieve the level of pain you are feeling. I titrated up to 5mg of dilaudid and I also use 6 blouses per day, it helped quite a bit, but my Dr. also prescribed 4 4mg of oral dilaudid to control my pain. I can say that for the 1st time in my life, I don’t mind waking up each day. I’m not groggy or tired from that dose, but my pain is adequately managed. My point is, to work with your Dr. and see if he’ll continue to work with you and continue to adjust your dose in a slow and controlled manner until you feel better, and am happy. The maximum daily dose is 5mg. But you have a long way to go to reach that level, you probably won’t need that level, but a bit of an increase I think will improve the quality of your life! I hope this helps, be your best advocate.