My pain meds, Duragesic patch 75 & vicodin 10mg didn't seem to be working for the past week, so I went to the DR yesterday. She gave meHydromorphone 4mg (substitued for Dilaudid 4mg) & Equagesic I have been on the equagesic before, it is asprin based pain/anti-inflamatory. They weren't working too well with the patch, so my hubby told me to take a vicodin with it. It seems to work well like that. But before the vicodin, I was in horrendous pain. Please keep me in your prayers. love to all robin M