If you find yourself in a hole, sometimes it's best to stop digging. I try to use dopamine-active drugs similar to Compazine or Reglan, and when I'm using narcotics, Dilaudid isn't near the top of my register for a choice, but if you're sitting at 4 mg and getting nowhere, then (1) you may enjoy to give more, but (2) you own to consider that you may not be treating a migraine. It may be time to get out the out-of-date LP kit to brand name sure you aren't treating a SAH. For Chrissake, don't rely on imaging studies!
My grandmother used to take that stuff for stomach-ache. I hear it's very powerful. I have a sneaking suspicion that hers were contained by 500mg tablets but I can't be positive.
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