Small wins count. Walking to the mailbox is a data point. Afternoon wearing off was my main issue with hydromorphone too.

Pinned, and mentioned in the rules thread so the next person finds it.

Personal experience, labelled as such, is exactly right here. Nobody is prescribing.

Name the active ingredient, not just the brand. It makes these threads searchable years later.

Worth repeating that this is not medical advice and the answer often depends on who you are.

Print the page.

Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule.

Enteric coatings should not be crushed. The pellets are the delivery mechanism.

Ten percent cuts. Slower is faster.

Daylight, no flash.

Name the active ingredient, not just the brand. It makes these threads searchable years later.

Bring a list. Embarrassment makes everyone forget things, including you.