"i started taking 30mg hysingla er about 6 months ago for severe joint pain along with 3 vicodin a day for breakthrough medication. i&#039;m now up to 60mg hysingla er but the 3 per day of vicodin is just not cutting it.  i&#039;m in severe joint pain with ra and osteoporosis.  may be possible vicodin not strong enough i think tylenol not strong enough for me.  i keep running out of the breakthrough medication by 3-4 days every month.  any suggestions?"