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Date/Time:  1/23/21 6:13 GMT

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Dilaudid (hydromorphone) is an opioid pain medication. An opioid is sometimes
called a narcotic. Dilaudid is used to treat moderate to severe pain. Dilaudid
may also be used for purposes not listed in this medication guide.Generic Name:
hydromorphone hydrochloride Dosage Form: oral liquid, tablets Indications and
Usage for Dilaudid ​Dilaudid Oral Solution and Dilaudid Tablets are indicated
for the management of pain severe enough to require an opioid analgesic and for
which alternative treatments are inadequate.

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Hydromorphone, also known as dihydromorphinone, and sold under the brand name
Dilaudid, among others, is a centrally acting pain medication of the opioid
class. It is made from morphine. Comparatively, hydromorphone is to morphine as
hydrocodone is to codeine – it is a hydrogenated ketone thereof. In medical
terms, it is an opioid analgesic, and in legal terms, a narcotic. Hydromorphone
is commonly used in the hospital setting, mostly intravenously (IV) because its
bioavailability is very low orally, rectally, and intranasally. Sublingual
administration (under the tongue) is usually superior to swallowing for
bioavailability and effects; however, hydromorphone is bitter and hydrophilic
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Uses of Dilaudid:
This medication is used to help relieve moderate to severe pain. Hydromorphone
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Read the Medication Guide provided by your pharmacist before you start taking
hydromorphone and each time you get a refill. If you have any questions, ask
your doctor or pharmacist.
Take this medication by mouth as directed by your doctor. You may take this
drug with or without food. If you have nausea, it may help to take this drug
with food. Ask your doctor or pharmacist about other ways to decrease nausea
(such as lying down for 1 to 2 hours with as little head movement as possible).
If you are using the liquid form of this medication, carefully measure the dose
using a special measuring device/spoon. Do not use a household spoon because
you may not get the correct dose. Do not confuse the dose of hydromorphone
liquid in milligrams (mg) with the dose in milliliters (mL). Ask your
pharmacist or doctor if you are not sure how to check or measure the dose. If
your liquid is a suspension, shake the bottle well before each dose.
The dosage is based on your medical condition and response to treatment. Do not
increase your dose, take the medication more frequently, or take it for a
longer time than prescribed. Properly stop the medication when so directed.
Pain medications work best if they are used when the first signs of pain occur.
If you wait until the pain has worsened, the medication may not work as well.
If you have ongoing pain (such as due to cancer), your doctor may direct you to
also take long-acting opioid medications. In that case, this medication might
be used for sudden (breakthrough) pain only as needed. Other pain relievers
(such as acetaminophen, ibuprofen) may also be prescribed. Ask your doctor or
pharmacist about using hydromorphone safely with other drugs.
This medication may cause withdrawal reactions, especially if it has been used
regularly for a long time or in high doses. In such cases, withdrawal symptoms
(such as restlessness, watering eyes, runny nose, nausea, sweating, muscle
aches) may occur if you suddenly stop using this medication. To prevent
withdrawal reactions, your doctor may reduce your dose gradually. Ask your
doctor or pharmacist for more details, and report any withdrawal reactions
right away.
When this medication is used for a long time, it may not work as well. Talk
with your doctor if this medication stops working well.
Though it helps many people, this medication may sometimes cause addiction.
This risk may be higher if you have a substance use disorder (such as overuse
of or addiction to drugs/alcohol). Take this medication exactly as prescribed
to lower the risk of addiction. Ask your doctor or pharmacist for more details.
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Tell your doctor if your pain persists or worsens.

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