"i developed horrendous headaches after a traumatic brain injury a year ago. after trying far too many non-narcotic alternatives and percocets, interspersed with several trips a month to the er for a shot of morphine, my doctors and i have come up with dilaudid to deal with the bad headaches. i take a single 11mg dose of dilaudid with two dramamine and an ativan, followed by a second ativan 2 hours later. i go from agony to &quot;let&#039;s go to ikea&quot; in about an hour. i do take a daily neurostimulant (300mg modafinal) for chronic fatigue that may offset the drowsiness you might expect from that combo, but it has been a huge gain for my quality of life. the trick seems to be to get enough dilaudid at once to stop the pain."