@jcoleary Early on I requested to have my output increased by 20%. Yes, I felt dizzy and a little "out of it" for a day or so. I would gladly trade a little dizziness for better pain relief. I don't have anything else in my pump. The doc tried adding some kind of anesthetic way back, but it did not sit well with me. When I was at around 1 mg, my pain doc said that I was still at a low dose. I hope your doc will loosen up and let you get some increases.