I learned the hard way to stock up on poisons before entering an instance. I thought 10 instant would be enough to carry me through as the combats started lasting longer and the poison procs started ticking away I found myself running out of poison well before the cool down period. Needless to say, you can't simply pop off and get a refill when you run out, and my damage dropped noticeable once the poison was gone.
So if you use poison, remember to keep a good supply on hand, especially if you are running off into an instance.