"my doc switched me to this due to some issues with morphine sulphate er 15mg three times a day.  he put me on the hysingla er at 20mg once a day with the oxy 15mg x2 for breakthru pain.  been on it for two days and am in constant pain at a 6/7 level.  with the other med i was 4/5 on bad days. so disappointed not too mention the cost is more than double for me.  don&#039;t know if the dose is just two low considering how long i&#039;ve been on pain meds  guess i could ask him to up it to 40mg and see if that works.  20mg isn&#039;t hacking it at all.  so tired of the government sticking its nose into my health."