The severity of the withdrawal symptoms experienced will depend on the degree of physical dependence and the dose of the antagonist administered. If a decision is made to treat serious respiratory depression in the physically dependent patient, administration of the antagonist should be initiated with care and by titration with smaller than usual doses of the antagonist. Inform patients that opioids could cause a rare but potentially life-threatening condition called serotonin syndrome resulting from concomitant administration of serotonergic drugs. Warn patients of the symptoms of serotonin syndrome and to seek medical attention right away if symptoms develop after discharge from hospital. Instruct patients to inform their healthcare providers if they are taking, or plan to take serotonergic medications see DRUG INTERACTIONS. Assess each patient’s risk for opioid addiction, abuse, or misuse prior to prescribing DILAUDID INJECTION and monitor all patients receiving DILAUDID INJECTION for the development of these behaviors and conditions.
Dilaudid Solution – Uses, Side Effects, and More
If opioid use is required for a prolonged period in a pregnant woman, advise the patient of the risk of neonatal opioid withdrawal syndrome and ensure that appropriate treatment will be available who are the most famous alcoholics see WARNINGS AND PRECAUTIONS. Take this medication exactly as prescribed to lower the risk of addiction. This medication is used to help relieve moderate to severe pain.
The background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. DILAUDID INJECTION may impair the mental or physical abilities needed to perform potentially hazardous activities such as driving a car or operating machinery.
Withdrawal
If they’re more severe or do not go away, talk with your doctor or pharmacist. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Stop taking all other around-the-clock narcotic pain medications when you start taking hydromorphone. Hydromorphone is an opioid medication used to treat moderate to severe pain.
Clinical monitoring
Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, WARNINGS AND PRECAUTIONS, DRUG INTERACTIONS]. This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects. This medicine is a light yellow, round, tablet imprinted with “P” and “4”.
The liquid is usually taken every 3 to 6 hours and the tablets are usually hams taper taken every 4 to 6 hours. The extended-release tablets are taken once daily with or without food. Take hydromorphone at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Before using hydromorphone, tell your doctor or pharmacist if you are allergic to it; or to other opioid pain medications (such as hydrocodone, morphine); or if you have any other allergies. This product may contain inactive ingredients (such as sulfites, latex), which can cause allergic reactions or other problems. To lower your risk, your doctor should have you use the smallest dose of hydromorphone that works, and use it for the shortest possible time. See also How to Use section for more information about addiction. Inform patients of the risk of life-threatening respiratory depression, including information that the risk is greatest when starting DILAUDID INJECTION or when the dosage is increased, and that it can occur even at recommended dosages. DILAUDID INJECTION may cause severe hypotension including orthostatic hypotension and syncope in ambulatory patients.
- Different brands of this medication have different storage needs.
- The following list contains some of the key side effects that may occur while taking hydromorphone.
- Observe newborns for signs of neonatal opioid withdrawal syndrome and manage accordingly.
- The difference observed in Cmax may not be clinically relevant.
- Never share this medicine with another person, especially someone with a history of drug abuse or addiction.
Talk with your doctor if this medication stops working well. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You should not take Dilaudid if you have severe breathing problems, or a blockage in your stomach or intestines.
The risk is increased with concurrent use of DILAUDID INJECTION with alcohol and/or other CNS depressants. If the patient develops these signs or symptoms, raise the dose to the previous level and taper more slowly, either by increasing the interval between decreases, decreasing the amount of change in dose, or both. Do not abruptly discontinue DILAUDID INJECTION in a physically-dependent patient see WARNINGS AND PRECAUTIONS, Drug Abuse And Dependence. Start patients with hepatic impairment on one-fourth to one-half the usual DILAUDID INJECTION starting dose depending on the extent of impairment see CLINICAL PHARMACOLOGY. There is inter-patient variability in the potency of opioid drugs and opioid formulations.
If you are using the liquid form of this vanderburgh house medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. Do not confuse the dose of hydromorphone liquid in milligrams (mg) with the dose in milliliters (mL).