November 23, 2014
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Hydromorph Contin

(hydromorphone controlled-release)

DIN (Drug Identification Number)

02125366 HYDROMORPH CONTIN 12MG CAPSULE
02243562 HYDROMORPH CONTIN 18MG CAPSULE
02125382 HYDROMORPH CONTIN 24MG CAPSULE
02125390 HYDROMORPH CONTIN 30MG CAPSULE
02125323 HYDROMORPH CONTIN 3MG CAPSULE
02125331 HYDROMORPH CONTIN 6MG CAPSULE

How does Hydromorph Contin work? What will it do for me?

Hydromorphone controlled-release belongs to the family of medications known as opioid analgesics (narcotic pain relievers). It is used to treat chronic, severe pain. Hydromorphone works on the brain to increase the ability to tolerate pain. Hydromorphone controlled-release works by gradually releasing the medication into the body to help control pain that requires the prolonged or continuous use of an opioid pain killer.

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.

How should I use Hydromorph Contin?

Hydromorph Contin

3 mg
Each green, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "3 mg", contains hydromorphone HCl 3 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, magnesium stearate, and microcrystalline cellulose; capsule shell: D&C Yellow No. 10, FD&C Green No. 3, gelatin, and titanium dioxide.

4.5 mg
Each blue-violet, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "4.5 mg", contains hydromorphone HCl 4.5 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, and microcrystalline cellulose; capsule shell: FD&C Blue No. 1, FD&C Red No. 3, gelatin, and titanium dioxide.

6 mg
Each pink, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "6 mg", contains hydromorphone HCl 6 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, magnesium stearate, and microcrystalline cellulose; capsule shell: D&C Red No. 28, FD&C Blue No. 1, FD&C Red No. 40, gelatin, and titanium dioxide.

9 mg
Each light blue, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "9 mg", contains hydromorphone HCl 9 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, and microcrystalline cellulose; capsule shell: FD&C Blue No. 1, gelatin, and titanium dioxide.

12 mg
Each orange, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "12 mg", contains hydromorphone HCl 12 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, magnesium stearate, and microcrystalline cellulose; capsule shell: D&C Red No. 28, D&C Yellow No. 10, FD&C Blue No. 1, FD&C Red No. 40, gelatin, and titanium dioxide.

18 mg
Each yellow, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "18 mg", contains hydromorphone HCl 18 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, magnesium stearate, and microcrystalline cellulose; capsule shell: gelatin, titanium dioxide, and yellow iron oxide.

24 mg
Each grey, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "24 mg", contains hydromorphone HCl 24 mg. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, magnesium stearate, and microcrystalline cellulose; capsule shell: gelatin, iron oxide, and titanium dioxide.

30 mg
Each red, controlled release capsule, imprinted with "PF" and "HYDROMORPH CONTIN" and the strength "30 mg", contains 30 mg of hydromorphone HCl. Nonmedicinal ingredients: colloidal silicon dioxide, dibutyl sebacate, ethyl cellulose, hydroxypropylmethyl cellulose, and microcrystalline cellulose; capsule shell: FD&C Red No. 3, gelatin, red iron oxide, yellow iron oxide, and titanium dioxide.

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.





What form(s) does Hydromorph Contin come in?

[Hydromorph Contin]

For people who are not currently taking other opioid pain medications or are taking low doses of weak opioid medications, the usual adult dose of hydromorphone controlled-release capsules is 3 mg every 12 hours.

For people who are receiving other formulations of hydromorphone or other opioid medications, the dose depends on the dose of these medications that you are currently taking. Your doctor will determine the dose that is appropriate for you.

Your doctor can adjust your dose every 48 hours until a dose that controls your pain with tolerable side effects is reached.

Your daily dose should be taken in two equally divided doses every 12 hours. Swallow hydromorphone controlled-release capsules whole, or open them and sprinkle the contents on cold, soft food. Do not chew, crush, dissolve, or break the contents of the capsule, as this could result in too much hydromorphone being released rapidly and could be fatal.

It is important that this medication be taken exactly as prescribed by your doctor. If you miss a dose, take 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 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.

Who should NOT take Hydromorph Contin?

Do not take this medication if you:

  • are allergic to hydromorphone, other opioid (narcotic) pain medications (e.g., morphine, codeine, oxycodone) or to any of the ingredients of the medication
  • are taking or have taken (within the last 14 days) MAO inhibitors (e.g., phenelzine, tranylcypromine)
  • have had surgery or have an underlying condition that may cause narrowing or obstruction of the intestines
  • have acute alcoholism
  • have acute asthma or other obstructive lung disease
  • have acute pain, or pain following surgery
  • have acute respiratory depression (slowed breathing)
  • have a head injury
  • have convulsions or seizure disorders
  • have cor pulmonale (heart failure caused by chronic high blood pressure in the arteries of the lungs)
  • have delirium tremens (e.g., confusion, diarrhea, shaking, fever, hallucinations, disorientation) associated with alcohol withdrawal
  • have increased carbon dioxide levels in the blood
  • have increased intracranial pressure (increased pressure inside the head), cerebrospinal pressure, or head injury
  • have mild or intermittent pain that can otherwise be managed
  • have pulmonary edema (fluid build-up in the lungs)
  • have severe central nervous system (CNS) depression (slowed nervous system)
  • have or may have surgical abdomen (e.g., paralytic ileus)
  • are pregnant, in labour or delivering, or breastfeeding

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