Yes, like others have said, how long you've been on that dose matters a lot. Also any type of illness weakens your bodies own ability to handle pain putting more pressure on the medication and antibiotics can cancel out pain meds completely. If you can tolerate IBU I would try adding 400-800mg into the mix, just to get you over the 7hr hump before I jumped up to the 2 a day dose. Just remember your going to be on medication for a long time and for me the longer I can stay of the narcotics the better for me and everyone in my life. Just my opinion, you know better how you feel than anyone else.