currently take Dilaudid 2mg to 4mg, at one point was on 600mcq Actiq, with fentanyl transdermal patch 100mcq, and Dilaudid. Now on 200mcq Actiq and 2mg Dilaudid. works well when combined with other meds. Less side effects than other oral meds, Ie oxycontin,etc. I have tried the generic form and the brand name form Actiq, The actiq is far superior, It costs alot more, my insurance does cover it, i have a preauthorization for cancer. I do go to a pain management specialist, we cannot understand why it costs so much, he said in the operating room they push it all of the time, the cost is cents on the dollar per mcq. meaning in the OR lets say they use 400mcq total IV, they cost is like under $50.00, but when i fill my prescription for 120 600mcq Actiq pops it is $6000.00, 200mcq $4400.00, thats crazy, thankfully insurance covers mine, so i really feel for those who have to pay out of pocket. causes less gastro symptoms for me anyways, overall a good drug, right now they are field testing it on ambulances to give instead of morphine, however the cost is causing a problem. i am allergic to morphine, so fentanyl and dilaudid work good for me, and believe me I have tried everything. The oxycontin caused a bowel obstruction, beacuase I was so sick when i was on it, I couln't eat or drink much at all. After that incident which landed me in the hospital, we swiched to fentanyl. Hopes this helps.Read More Read Less