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Dilaudid (Hydromorphone Hydrochloride) - Summary

 
 



WARNING: DILAUDID ORAL LIQUID AND DILAUDID TABLETS CONTAIN HYDROMORPHONE, WHICH IS A POTENT SCHEDULE II CONTROLLED OPIOID AGONIST. SCHEDULE II OPIOID AGONISTS, INCLUDING MORPHINE, OXYMORPHONE, OXYCODONE, FENTANYL, AND METHADONE, HAVE THE HIGHEST POTENTIAL FOR ABUSE AND RISK OF PRODUCING RESPIRATORY DEPRESSION. ALCOHOL, OTHER OPIOIDS AND CENTRAL NERVOUS SYSTEM DEPRESSANTS (SEDATIVE-HYPNOTICS) POTENTIATE THE RESPIRATORY DEPRESSANT EFFECTS OF HYDROMORPHONE, INCREASING THE RISK OF RESPIRATORY DEPRESSION THAT MIGHT RESULT IN DEATH.

 

DILAUDID SUMMARY

DILAUDID (hydromorphone hydrochloride), a hydrogenated ketone of morphine, is an opioid analgesic.

DILAUDID ORAL LIQUID and DILAUDID TABLETS are indicated for the management of pain in patients where an opioid analgesic is appropriate.


See all Dilaudid indications & dosage >>

NEWS HIGHLIGHTS

Published Studies Related to Dilaudid (Hydromorphone)

Hydromorphone extended release for neuropathic and non-neuropathic/nociceptive chronic low back pain: a post hoc analysis of data from a randomized, multicenter, double-blind, placebo-controlled clinical trial. [2014]
(LBP) with or without a neuropathic component... CONCLUSIONS: The results of this study indicate that hydromorphone ER is

Safety and efficacy of once-daily hydromorphone extended-release versus twice-daily oxycodone hydrochloride controlled-release in chinese patients with cancer pain: a phase 3, randomized, double-blind, multicenter study. [2014]
Noninferiority of the efficacy of once-daily hydromorphone hydrochloride extended-release (hydromorphone ER) compared with twice-daily oxycodone hydrochloride controlled-release (oxycodone CR) was investigated in this randomized, double-blind study in Chinese patients with moderate to severe cancer pain requiring strong oral opioid analgesics.

Potency ratio of hydromorphone and diacetylmorphine in substitution treatment for long-term opioid dependency. [2011]
treatment are limited... CONCLUSIONS: Studies using hydromorphone as a diacetylmorphine equivalent should

Effects of acepromazine, hydromorphone, or an acepromazine-hydromorphone combination on the degree of sedation in clinically normal dogs. [2010.11.15]
OBJECTIVE: To determine the effects of IM administration of acepromazine, hydromorphone, or the acepromazine-hydromorphone combination on degree of sedation in clinically normal dogs and to compare 2 sedation scoring techniques... The NRS was a less-reliable measure of sedation.

Steady-state pharmacokinetics of extended-release hydromorphone (OROS hydromorphone): a randomized study in healthy volunteers. [2010.09]
The steady-state pharmacokinetics of an extended-release formulation of hydromorphone, OROS hydromorphone, was investigated in a randomized, open-label, crossover study in healthy volunteers. Participants were randomly assigned to receive 16 mg of OROS hydromorphone once daily and 4 mg of immediate-release hydromorphone four times daily for five consecutive days...

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Clinical Trials Related to Dilaudid (Hydromorphone)

Methadone and Hydromorphone For Spinal Surgery [Recruiting]
Patients undergoing major spinal surgery continue to experience moderate-to-severe pain during the first 2-3 days following the operative procedure. Pain complicates the recovery process, despite the routine practice of using potent opioid analgesics. The primary reason that pain is poorly controlled in patients undergoing major surgery is that most commonly-used opioids only produce analgesia for 2-4 hours. The intermittent use of these drugs results in periods of time when a patient will experience discomfort (at which time a nurse administers more drug or the button on a patient-controlled analgesic (PCA) system is pressed to deliver more medication). The use of a long-acting opioid may be advantageous in the perioperative setting. Methadone is an opioid that has a median duration of analgesia of 24-36 hours. Therefore, a single dose administered in the operating room may reduce the need for pain medication and improve pain control for the first few postoperative days. The aim of this randomized clinical trial is to examine the effect of methadone (compared to hydromorphone) on postoperative pain management in patients undergoing major spine surgery

Association Between Body Size and Response to Hydromorphone in ED [Recruiting]
Pain is the most common complaint for patients presenting to the emergency department (ED). Inadequate pain relief is also a common problem in ED. Patients' pain perceptions and responses to intravenous opioids vary widely and are influenced by multiple factors. The objective of the current study is to examine the association between total body weight, BMI (body mass index) and clinical response to a fixed dose of intravenous hydromorphone.

Fixed Dose of Intravenous Hydromorphone in the Treatment of Acute Pain [Completed]
Research question: In adult emergency department (ED) patients to whom the attending ED physician has decided to administer intravenous opioid pain control: 1. What is the incidence of serious adverse events, defined as the use of naloxone, up to a total of 2 hours after infusion of 2 mg IV hydromorphone? 2. What is the incidence of other side effects (respiratory depression, hypotension, oxygen desaturation, nausea, vomiting, and pruritus) at 5, 15, 30 and 120 minutes post infusion of 2mg IV hydromorphone? 3. What is the speed of onset of 2 mg IV hydromorphone? This will be measured by asking the patient for his NRS pain score at 1, 2, 3, 4, and 5 minutes post infusion of 2 mg IV hydromorphone. 4. What is the incidence of administration of rescue medications? 5. For those patients who decline to enter the study, what are their reasons for refusal (e. g. fear of becoming addicted)? The investigators believe this is yet another barrier to providing adequate pain relief for patients with acute severe pain.

Study of Respiratory Depression When Using a Hydromorphone Pain Protocol [Terminated]
This is a study about the efficiency and safety of a 1mg+1mg hydromorphone pain management protocol for the treatment of moderate to sever pain in the Emergency Department. Appropriate patients 60 years and older who present with a condition that causes moderate to severe pain, according to the attending physician's judgment, in which the physician would order the use of parenteral analgesia will be enrolled in one of two study arms, "1+1" versus usual care group. 1+1 patients will receive 1mg hydromorphone followed by another 1mg after 15 minutes if pain persists. Usual care group patients will have pain treated per the discretion of the attending physician. Respiratory status, vital signs, and pain scores will be monitor to assess the efficiency of pain control as well as the safety of pain medicine administration in terms of respiratory depression.

An Open-label Study of Hydromorphone Oral Solution in Subjects Aged 28 Days to 16 Years for Postoperative Pain [Completed]

more trials >>

Reports of Suspected Dilaudid (Hydromorphone) Side Effects

Drug Hypersensitivity (35)Nausea (29)Abdominal Pain (25)Vomiting (23)Constipation (18)Weight Decreased (16)Drug Ineffective (15)Dyspnoea (15)Confusional State (14)Headache (14)more >>


PATIENT REVIEWS / RATINGS / COMMENTS

Based on a total of 3 ratings/reviews, Dilaudid has an overall score of 3.67. The effectiveness score is 10 and the side effect score is 4.67. The scores are on ten point scale: 10 - best, 1 - worst.
 

Dilaudid review by 26 year old male patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   Moderate Side Effects
  
Treatment Info
Condition / reason:   broken ribs
Dosage & duration:   4mg taken 4 hrs for the period of 4 weeks
Other conditions:   broken leg, torn acl
Other drugs taken:   meloxacam
  
Reported Results
Benefits:   Very effective at eliminating pain.
Side effects:   Drowsiness, Constipation, Nightmares, Inability to focus.
Comments:   I had a motorcycle crash. I broke 3 ribs and my leg in two places around me knee. I also tore my acl. Given 2 dilaudid injections in ER and prescribed 4 mg tabs to be taken every 4 hrs. Did this for one week and began having the "mental" side effects (specifically nightmares and mild hallucinations) after 3 days. I started taking the 4 mg tabs every 6 hrs and eventually every 8 hrs and these side effects diminished. Constipation was a serious issue with the 4 mg tabs. Got a refill for 2 Mg tabs and were definitely less effective but experienced only light side effects (mainly inability to focus). Took 2 Mg tabs for the remainder of the occasional pain outbreaks for the remaining 2 weeks

 

Dilaudid review by care giver of 13 year old male patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   Extremely Severe Side Effects
  
Treatment Info
Condition / reason:   headaches
Dosage & duration:   .5 mg. taken 3 times--after percocet and morphine for the period of 12 hours
Other conditions:   given after a head shunt operation. the shunt was replaced.
Other drugs taken:   morphine,
  
Reported Results
Benefits:   the drug treatments stopped the headaches.
Side effects:   the patient died.
Comments:   after the shunt replacement, the patient was fine. the operation for the replacement took place at noon, and at about five o,clock in the morning the next day, he died. his skin was mottled, and he had an emesis in his mouth. about half an hour before, the nurse caring for him reported he was fine and sleeping. about four hours after the operation he was fine, watching television and joking with visitors which included his father. a code for resusitation was called, and after about 30 minutes the code team ceased operations.

 

Dilaudid review by care giver of 13 year old male patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   Extremely Severe Side Effects
  
Treatment Info
Condition / reason:   headaches
Dosage & duration:   .5 mg. taken 3 times--after percocet and morphine for the period of 12 hours
Other conditions:   given after a head shunt operation. the shunt was replaced.
Other drugs taken:   morphine,
  
Reported Results
Benefits:   the drug treatments stopped the headaches.
Side effects:   the patient died.
Comments:   after the shunt replacement, the patient was fine. the operation for the replacement took place at noon, and at about five o,clock in the morning the next day, he died. his skin was mottled, and he had an emesis in his mouth. about half an hour before, the nurse caring for him reported he was fine and sleeping. about four hours after the operation he was fine, watching television and joking with visitors which included his father. a code for resusitation was called, and after about 30 minutes the code team ceased operations.

See all Dilaudid reviews / ratings >>

Page last updated: 2015-08-10

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