Generic Name: hydromorphone (injection) (hy dro MOR fone)Brand Names: Dilaudid, Dilaudid-HP
Hydromorphone is in a group of drugs called narcotic pain relievers. It is similar to morphine.
Hydromorphone injection is used to treat moderate to severe pain.
Hydromorphone injection may also be used for purposes other than those listed in this medication guide.What is the most important information I should know about hydromorphone injection?Hydromorphone may be habit-forming and should be used only by the person it was prescribed for. Hydromorphone injection should never be shared with another person, especially someone who has a history of drug abuse or addiction. Do not drink alcohol while you are receiving hydromorhphone. Dangerous side effects or death can occur when alcohol is combined with a narcotic pain medicine. Check your food and medicine labels to be sure these products do not contain alcohol. Hydromorphone can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not stop using hydmorphone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.
You should not receive hydromorphone injection unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Talk with your doctor if you are not sure you are opioid-tolerant.What should I discuss with my healthcare provider before receiving hydromorphone injection?Do not use this medication if you have ever had an allergic reaction to a narcotic medicine (examples include codeine, methadone, morphine, Oxycontin, Darvocet, Percocet, Vicodin, Lortab, and many others). You should also not use hydromorphone injection if you are having an asthma attack. Hydromorphone may be habit-forming and should be used only by the person it was prescribed for. Hydromorphone should never be shared with another person, especially someone who has a history of drug abuse or addiction.
Before receiving hydromorphone, tell your doctor if you are allergic to any drugs, or if you have:
asthma, COPD, sleep apnea, or other breathing disorders;
curvature of the spine;
a history of head injury or brain tumor;
epilepsy or other seizure disorder;
low blood pressure;
Addison's disease or other adrenal gland disorders;
enlarged prostate, urination problems;
mental illness; or
a history of drug or alcohol addiction.
You should not use hydromorphone injection unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Opioid medicines include fentanyl (Actiq, Duragesic), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph, and others), oxycodone (Oxycontin), oxymorphone (Opana), and any other forms of hydromorphone. Talk with your doctor if you are not sure you are opioid-tolerant.Older adults may be more sensitive to the effects of this medicine.
This medication is given as an injection through a needle placed under your skin or into a muscle. You will receive this injection in a clinic or hospital setting.
Tell your doctor if the medicine seems to stop working as well in relieving your pain.
If you need to have any type of surgery, tell the surgeon ahead of time that you are using hydromorphone. You may need to stop using the medicine for a short time.Do not stop using hydromorphone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.
Since hydromorphone is usually given by a healthcare provider, it is not likely that you will miss a dose.
Overdose symptoms may include extreme drowsiness, pinpoint pupils, confusion, cold and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.
shallow breathing, slow heartbeat;
cold, clammy skin;
severe weakness or dizziness; or
feeling light-headed, fainting.
Less serious side effects are more likely to occur, such as:
warmth, tingling, or redness under your skin;
nausea, vomiting, diarrhea, loss of appetite;
pain or tenderness where the injection was given;
sleep problems (insomnia).
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Pain:
Oral: 2 mg every 4 to 6 hours as needed. Titrate dose in 1 mg increments. Affect usually occurs in 30 minutes.Rectal: 3 mg every 6 to 8 hours as needed.IM, subcutaneous, intravenous: 1 to 2 mg every 4 to 6 hours as needed. Titrate dose in 1 to 2 mg increments.
Usual Adult Dose for Cough:
1 mg orally every 3 to 4 hours as needed.
Usual Pediatric Dose for Pain:
Oral: 0.03 to 0.08 mg/kg/dose every 4 to 6 hours as needed. Maximum dose: 5 mg/dose.Intravenous: 0.015 mg/kg/dose every 4 to 6 hours as needed.
Usual Pediatric Dose for Cough:
6 to 12 years: 0.5 mg orally every 3 to 4 hours as needed.> 12 years: 1 mg orally every 3 to 4 hours as needed.
Before receiving hydromorphone injection, tell your doctor if you are using pentazocine (Talwin), nalbuphine (Nubain), butorphanol (Stadol), or buprenorphine (Buprenex, Subutex). If you are using any of these drugs, you may not be able to use hydromorphone, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can interact with hydromorphone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.