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Generic name: HYDROMORPHONE
Strength: 1MG, 2MG, 4MG, 8MG
What is Dilaudid?
Hydromorphone belongs to the family of medications known as opioid analgesics (narcotic pain relievers). It is used to treat moderate-to-severe pain, including pain after surgery.
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Dilaudid Indication
Hydromorphone belongs to the family of medications known as opioid analgesics (narcotic pain relievers). It is used to treat moderate-to-severe pain, including pain after surgery. Hydromorphone works on the brain to increase the ability to tolerate pain. Hydromorphone begins to work within 30 minutes for oral (by mouth) forms.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
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Dilaudid Dosage
The usual adult starting dose of hydromorphone taken by mouth is 2 mg to 4 mg every 4 to 6 hours as required. Rectal suppositories are often used at night, with the usual dose of 1 suppository every 6 to 8 hours.
Swallow the tablets whole with fluids. Cutting, breaking, chewing, crushing, or dissolving hydromorphone tablets can result in dangerous adverse events, including death.
Use an oral syringe to measure each dose of the liquid, as it gives a more accurate measurement than household teaspoons. The oral liquid may be diluted in fruit juice or other beverage if desired.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
After a certain dose of hydromorphone has been taken for a period of time, the body often gets used to it and a higher dose of hydromorphone is needed to relieve the pain. Generally, your doctor will try to find the dose of hydromorphone that will give you acceptable pain relief without an unacceptable level of side effects. This helps to reduce the side effects of the medication and allows for the dose to be adjusted upwards if needed. Always check with your doctor if you feel your medication isn't working well anymore.
Over time, this medication may produce tolerance and physical dependence as your body becomes used to the drug. Tolerance occurs when a dose that used to provide acceptable pain relief is no longer effective, and higher doses are required to achieve the same level of pain relief. Physical dependence is a state where the body will go into withdrawal if the medication is stopped suddenly. If you have been taking Morphine on a regular basis for a long period of time, talk to your doctor before stopping the drug, as withdrawal effects can occur.
Tolerance and physical dependence are not the same as addiction. Addiction is defined as a psychological need to use the medication for reasons other than pain relief. Although people may become addicted to this medication, it is most common for people who have had addictions to other substances in the past.
It is important that this medication be taken exactly as prescribed by your doctor. If you miss a dose, take or use it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take or use a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
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Dilaudid Adverse Effects
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
- confusion
- Constipation
- decreased ability or interest in sexual activity
- decreased coordination
- dizziness, lightheadedness, or feeling faint
- drowsiness
- Dry Mouth
- headache
- nausea
- nightmares or unusual dreams
- trouble sleeping
- vomiting
- weakness
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- blurred or double vision or other changes in vision
- fast, slow, or pounding heartbeat
- increased sweating
- itching
- shortness of breath, wheezing, or troubled breathing
- symptoms of a bowel blockage (e.g., abdominal pain, severe constipation, nausea)
- withdrawal symptoms (e.g., nausea, vomiting, Diarrhea, anxiety, shivering, cold and clammy skin, body aches, loss of appetite, sweating)
Stop taking the medication and seek immediate medical attention if any of the following occur:
- seizures
- signs of a Anaphylaxis (severe allergic reaction) (Hives; difficulty breathing; swelling of the face, throat, or tongue)
- symptoms of overdose (e.g., hallucinations, confusion, inability to walk normally, slow or weak breathing, “pinpoint” pupils of the eyes, extreme sleepiness, dizziness, floppy muscles, cold and clammy skin)
- symptoms of serotonin syndrome (e.g., agitation or restlessness, loss of muscle control, muscle twitching, tremor, diarrhea)
- slow or troubled breathing
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
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Dilaudid Available Form
Oral Liquid
Each mL of clear, unflavoured, syrupy liquid contains 1 mg of hydromorphone HCl. Nonmedicinal ingredients: glycerin, methylparaben, propylparaben, and sucrose. Sucrose: 0.5 g/mL.
Tablets
Each tablet contains 1 mg (green), 2 mg (orange), 4 mg (yellow), or 8 mg (white, scored) of hydromorphone HCl. Nonmedicinal ingredients: lactose anhydrous, magnesium stearate, D&C Yellow No. 10 Lake and FD&C Blue No. 1 Lake (for 1 mg), D&C Red No. 30 Lake, and D&C Yellow No. 10 Lake (for 2 mg), D&C Yellow No. 10 Lake (for 4 mg). Tartrazine-free.
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