@babs272 Yes, the hydromorph can make you drowsy initially. I think if you are taking it that often, you need to speak to your team about the long lasting one. That way, it is constantly in your system and easier on your organs as well. You can have the short acting ones for breakthrough as needed after that. It takes a couple of days for the long acting ones to take effect in the body so be patient and make sure you are not getting constipated either. Perhaps discuss that with your team as well. I think once you make the change to long acting, you will see a difference as they release slowly over time throughout the body compared to the short acting ones. I know exactly how you feel as I used to feel that way at one time. In my opinion, it is definitely worth the ask especially knowing how often you are taking the short acting ones.
As for the med you are on, I have not heard of it before this, Etoposide. I will have to look it up and educate myself a little on it.
Until you can speak with your team, hang in there but as soon as they are back working from this holiday, I would call in and get yourself switched.
Hope this helps!
Take care of you <3