If I understand correctly, 12mg is the lowest dose for the ER of Dilaudid and 8 is the max for immediate release. My MD is considering putting me on the 12, but at that does I’d only take it twice a day. This makes me very nervous, I like having the immediate release around to take as needed when needed. Has anyone on Dilaudid started on the IR then switched to the ER? What was your experience like ?