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Hello there! Well, I hate to see you in pain and i have been there so many times. A hydro holiday would help but then you would have all the pain again for that holiday. 10/325 have less tylenol in them because docs worry about long term use causing liver problems with the 10/500 but you could add a 325mg tylenol maybe at night or whatever time the pain is the worse for you. Some people in pain take a soma or xanax once ady as it help the hydro work better when you are calmer. I have awful kidney stones with extreme pain that gets me so upset at times the painmeds can't work so I have to take a xanax to calm me down to allow the pain medicine to work. My urologist first put me on this as I was so upset they couldn't get the pain meds to work.
These are just a few ideas only. I hope this helps you some with your problem and you take care of yourself! If I can ever help let me know!
Hugs RK