"this is an update to my posting late jan. now after 4 months of titration i&#039;m at 40mg. but disappointed. i could sleep 12 hours each night if allowed to, constantly tired. and taking a new hysingla pill every 15-18 hours for bleed-through pain. definitely missing my old four times a day percs, but i&#039;d be doubling up on those too i&#039;m sure. so dr says live with it. pain level at 2. but never any better. and that&#039;s disappointing. dr won&#039;t go higher."