Pembroke
Bluelighter
My tolerance is way too high ¬.¬ I'm still not nodding from all that. Gonna try a break (not complete abstinence but gonna try to maintain on the lowest dose possible for a bit to bring my tolerance down a bit hopefully).
obviously I don't know you, so I hope this isn't overstepping, but you may be surprised at how fast you can reset your tolerance. I had some issues (med change, several incidents of aortic spasm, and my HCA stealing meds) that caused me to be aware that I was going to run out of meds with almost a week to go. I had a trusted friend lock down my meds and bring me only enough to take 4 mg QID of hydromorphone HP each morning (because I couldn't trust myself to not take more, and I knew running completely out would be catastrophic), which I was at one point taking anywhere from 6-12mg IM every 4 hours, so six times a day. It was a hellish 10 days, and you better believe I was counting every damn day. None of this "about a week" shit, no, it was ten and a half freaking days. Fortunately, my anesthetist is a good guy and he gave me a small dose of IV Dilaudid at the appointment, which was really really humiliating for me because I've ALWAYS made it to my appointments, usually with about 1/4 of my meds still in the bottle, because I try so hard to be careful. This month was just shit and it got the better of me, but my doc is really compassionate and was very kind about the situation.
Anyway. I made it to my appointment, went to the pharmacy, drove like four blocks (I'm self conscious, I didn't want the pharmacist who already judges me to see me looking like a dope fiend), pulled over, and drew up 8mg. Not even the high end dose I was taking only two weeks prior. Got back on the road. I was only 20 minutes from home, but fuck if I didn't think I wasn't going to make it. I'm now consistently taking 4-6mgs most of the time and it's working fabulously.
Based on your doses, I'm presuming you've been on this stuff for a while... I've only been on the Dilaudid HP for about a year, maybe a year and a half, but prior to that I was on oral Dilaudid for about four years and have been on other opioids (started with morphine, then oxycodone, then oxymorphone, then fent patch) going back sevenish years. So I'm a long-term pain patient / opiate user, and even I experienced a massive tolerance dip in just 10.5 terrible, horrible, hellish, well-regulated days. So. Yeah, not to overstep, but I feel like you could have a shot at it, too. And it sucked, but it totally worth t now that I'm "on the other side" and am taking much less meds than I ever thought possible. I may even get to go back on oral meds someday, if this isn't a temporary rebound reset. Hooray!