There is certainly more room to increase her pain meds. Jack is getting 50 mgs of Tramadol 3 times a day and Meloxicam 100mls once a day and he is not in pain right now. If he should be I will increase that dosage of Tramadol. 50 mgs is a low dose. I am so sorry about Lois. You do need to beat back that pain and then try to keep it under control. It is harder to to keep keep trying to fight it back once it rears its ugly head.