Hello I was wondering if I could ask a question, I see your total dose of dilaudid per day now is 4.76 mg. My question is at what dose did this start at and how long did it take to get the dose your are at now . I am just now starting the process and my doctor started mine out at 0.4999 mg a day and I'm not really seeing a whole lot of pain relief now. However, this is just the very first time it got filled up and he did say that it was a process of slowly increase the pain pump while slowly decreasing my pain oral medicine but I was just curious as to your experience? Thank you