However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines.
Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Appropriate studies have not been performed on the relationship of age to the effects of hydromorphone in the pediatric population.
Safety and efficacy have not been established. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of hydromorphone in the elderly. However, elderly patients may be more sensitive to the effects of hydromorphone than younger adults, and are more likely to have age-related lung, liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving hydromorphone.
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary.
When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur.
Using alcohol or tobacco with certain medicines may also cause interactions to occur. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases.
If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:. Take this medicine only as directed by your doctor.
Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. If too much of this medicine is taken for a long time, it may become habit-forming causing mental or physical dependence.
It is very important that you understand the rules of the Opioid Analgesic REMS program to prevent addiction, abuse, and misuse of hydromorphone. Some users also crush the pills and snort them. As with other Opiate Painkillers , people abuse Dilaudid for the intense sensations of euphoria and relaxation. Dilaudid abuse is taking the drug in any way not prescribed by a doctor. This includes taking Dilaudid in higher doses than prescribed or taking it without a prescription.
Dilaudid abusers have a high risk of overdose, which can be fatal. Someone prescribed the drug may not feel enough pain relief and take a higher dose, putting them at risk of overdosing. High doses of Dilaudid slow breathing and blood pressure, sometimes resulting in death. Learn More. Many people who try to quit Dilaudid on their own relapse.
The support and medical assistance of a professional treatment setting can make it easier to quit. Treatment for Dilaudid addiction often involves counseling and medications for cravings and withdrawal. Contact a treatment provider to learn more about your rehab options. After graduation, he decided to pursue his passion of writing and editing. All of the information on this page has been reviewed and verified by a certified addiction professional.
Theresa is also a Certified Professional Life Coach and volunteers at a local mental health facility helping individuals who struggle with homelessness and addiction. Theresa is a well-rounded clinician with experience working as a Primary Addiction Counselor, Case Manager and Director of Utilization Review in various treatment centers for addiction and mental health in Florida, Minnesota, and Colorado. She also has experience with admissions, marketing, and outreach.
As a proud recovering addict herself, Theresa understands first-hand the struggles of addiction. There is no limit to what Theresa is willing to do to make a difference in the field of Addiction!
Ottawa, ON. Baldwinville, MA. Ashby, MA. Andover, MA. Boston, MA. Wakefield, MA. Updated June 1, Hydromorphone use for acute pain: Misconceptions, controversies, and risks. J Opioid Manag. Updated March 10, J Clin Psychopharmacol. Opioid Testing. March 15, Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data.
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Related Articles. Your pharmacist may be able to advise you on managing side effects. 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. Stop taking the medication and seek immediate medical attention if any of the following occur:. 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.
Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take this medication.
Alcohol use: Alcohol increases the risk of severe side effects of hydromorphone, such as decreased blood pressure, seizures, breathing problems, and severe drowsiness. Consuming alcohol while you are taking hydromorphone is not recommended.
Abdominal stomach conditions: Like other narcotic medications, hydromorphone may make the diagnosis of abdominal conditions more difficult or it may worsen these conditions. If you have a history of abdominal problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Accidental use: Accidental ingestion or use of as little as one dose of hydromorphone by someone for whom it has not been prescribed can lead to a fatal overdose. Children are especially at risk. Keep this medication out of sight and reach of children. Constipation: Constipation happens frequently while taking opioid narcotic pain relievers on a regular basis. Ask your doctor or pharmacist for advice on how to manage constipation.
Dependence and withdrawal: As with other opioid medications narcotics , this medication may become habit-forming if taken for long periods of time. Misuse of hydromorphone usually is not a problem when it is used appropriately for pain relief. Withdrawal symptoms e. Reducing the dose gradually under medical supervision can help prevent or decrease these withdrawal symptoms when this medication is no longer required for pain control.
Difficulty breathing: Hydromorphone can cause serious breathing problems. If you experience slowed breathing or difficulty breathing, seek immediate medical attention. People are more at risk for experiencing this if they have lung problems or a head injury or are taking other medications that can slow breathing.
Make sure you follow the instructions on how to properly use this medication. If you have any questions, contact your doctor or pharmacist. If you have a chronic lung condition e. Do not drive or operate dangerous machinery while using this medication unless you have determined that the medication does not affect your ability to do so. Head injury: Hydromorphone can cause increased pressure inside the head.
If you have experienced a head injury or other condition which increases the pressure inside your head, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
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