September 16, 2014
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Drug Factsheets

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Dilaudid

(hydromorphone)

DIN (Drug Identification Number)

00705438 DILAUDID 1MG TABLET
00786535 DILAUDID 1MG/ML ORAL LIQUID
02085895 DILAUDID 250MG/VIAL IM/SC/IV INJ
00125083 DILAUDID 2MG TABLET
00627100 DILAUDID 2MG/ML INJ
00125105 DILAUDID 3MG SUPPOSITORY
00125121 DILAUDID 4MG TABLET
00786543 DILAUDID 8MG TABLET
00622133 DILAUDID HP 10MG/ML INJ
02146118 DILAUDID-HP-PLUS 20MG/ML LIQ IM IV SC
02145863 DILAUDID - XP - 50MG/ML LIQ IM IV SC

How does Dilaudid work? What will it do for me?

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. High concentration injectable forms of this medication are only used to treat severe pain for people who need higher than usual doses of hydromorphone.

Hydromorphone works on the brain to increase the ability to tolerate pain. Hydromorphone begins to work within 30 minutes for oral (by mouth) forms, or within 5 minutes for injectable forms.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. 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 Dilaudid?

The usual adult dose of hydromorphone taken by mouth is 2 mg to 4 mg every 4 to 6 hours as required. The oral liquid may be diluted in fruit juice or other beverage if desired. Rectal suppositories are often used at night, with the usual dose of 1 suppository every 6 to 8 hours.

The usual adult dose of hydromorphone when given by injection is 2 mg given under the skin or into a muscle every 4 to 6 hours if necessary. When given by injection in the hospital, your doctor may inject the medication slowly into a vein.

For high-concentration hydromorphone injection, the dose will depend on the dose of other opioid medications that you are currently using. Your doctor will determine the dose that is appropriate for you.

It is important to use this medication 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. Protect the ampulees and vials from light.

This medication is 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 listed here. The forms available for the specific brand you have searched are listed under "What form(s) does this medication come in?"

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 Dilaudid come in?

Ampules

Each mL of sterile solution contains hydromorphone HCl 2 mg. Nonmedicinal ingredients: citric acid, and sodium citrate. Preservative-free.

Oral Liquid

Each mL of clear, unflavoured, syrupy liquid contains hydromorphone HCl 1 mg. Nonmedicinal ingredients: glycerin, methylparaben, propylparaben, and sucrose. Sucrose: 0.5 g/mL.

Tablets

Each tablet contains hydromorphone HCl 1 mg (green), 2 mg (orange), 4 mg (yellow) or 8 mg (white, scored). Nonmedicinal ingredients: lactose anhydrous and magnesium stearate. Also contains 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.

Dilaudid-HP

Each mL of sterile solution contains hydromorphone HCl 10 mg, citric acid 2 mg, and sodium citrate 2 mg, in water for injection. No added preservatives.

Dilaudid-HP-Plus

Each mL of sterile solution contains hydromorphone HCl 20 mg, citric acid 2 mg, and sodium citrate 2 mg, in water for injection. No added preservatives.

Dilaudid-XP

Each mL of sterile solution contains hydromorphone HCl 50 mg, citric acid 2 mg, and sodium citrate 2 mg, in water for injection. No added preservatives.

Dilaudid Sterile Powder

Each vial contains sterile lyophilized hydromorphone HCl 250 mg. No added preservatives.

Suppositories

Each suppository contains hydromorphone HCl 3 mg. For more information, ask your doctor or pharmacist.

Who should NOT take Dilaudid?

Hydromorphone should not be taken or used by anyone who:

  • is allergic to hydromorphone, other opioid (narcotic) pain medications (e.g., morphine, codeine, oxycodone), or to any of the ingredients of the medication
  • has acute asthma or other obstructive airway disease
  • has acute respiratory depression (slowed breathing)
  • has increased intracranial pressure (increased pressure inside the head)
  • has pulmonary edema (fluid buildup in the lungs)
  • has severe central nervous system (CNS) depression (e.g., slowed nervous system)

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