FAQs
Euphoria, relaxation, sedation, and reduced anxiety. It may also cause mental clouding, changes in mood, nervousness, and restlessnessConstipation, nausea, vomiting, impaired coordination, loss of appetite, rash, slow or rapid heartbeat, and changes in blood pressure.
What to do before administering hydromorphone? ›
Before using hydromorphone injection,
tell your doctor and pharmacist if you are allergic to hydromorphone injection, any other medications, sulfites, or any of the ingredients in hydromorphone injection solution. Ask your pharmacist for a list of the ingredients.
What do you assess with hydromorphone? ›
Hydromorphone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- headache.
- difficulty falling asleep or staying asleep.
- dry mouth.
- lightheadedness.
- drowsiness.
- increased sweating.
- muscle, back or joint pain.
- stomach pain.
What is the most common side effect of hydromorphone? ›
Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, sweating, flushing, or dry mouth may occur. Some of these side effects may decrease after you have been using this medication for a while. If any of these effects last or get worse, tell your doctor or pharmacist promptly.
Is hydromorphone a strong or weak opioid? ›
Hydromorphone is a strong opioid-based pain medicine that can only be prescribed by your doctor. Hydromorphone is prescribed for the short-term relief of severe pain, where other pain-relief medicines have not been effective or cannot be used.
How slow do you push hydromorphone? ›
Intravenous Administration: The initial starting dose is 0.2 to 1 mg every 2 to 3 hours. Intravenous administration should be given slowly, over at least 2 to 3 minutes, depending on the dose. The initial dose should be reduced in the elderly or debilitated and may be lowered to 0.2 mg.
Should hydromorphone be taken on an empty stomach? ›
Hydromorphone extended-release capsules or extended-release tablets are for use in opioid-tolerant patients only. If you are uncertain whether or not you are opioid-tolerant, check with your doctor before using this medicine. Take this medicine at the same time each day, with or without food.
What should not be taken with hydromorphone? ›
Drug-Drug Interactions
Concurrent use of hydromorphone with other CNS depressants, including benzodiazepine and barbiturates, can induce severe respiratory and CNS depression. As a result, it is essential to consider alternative analgesic agents in such cases.
What do you monitor with hydromorphone? ›
The hydromorphone in Hydromorphone Hydrochloride Injection [high potency formulation (HPF)] may cause spasm of the sphincter of Oddi. Opioids may cause increases in serum amylase. Monitor patients with biliary tract disease, including acute pancreatitis, for worsening symptoms.
What are the special considerations of hydromorphone? ›
This medicine may cause adrenal gland problems. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.
Morphine and hydromorphone (Dilaudid) are opioid analgesic drugs that treat severe pain. Hydromorphone is two to eight times more powerful than morphine, but morphine's effects last longer. Both can lead to a dependence. Dilaudid is the brand name of the generic drug, hydromorphone, while morphine is a generic drug.
Are you supposed to dilute Dilaudid? ›
Truth: This is false. Ready-to-administer medications come packaged the way they do for a reason. Diluting them can reduce their efficacy and introduce the risk of medication errors and contamination of sterile I.V.
What assessments must be done before administering a narcotic analgesic? ›
Compare the patient's ability to function and perform ADLs before and after pain interventions. Observe the patient's nonverbal behaviors, including facial expressions, body movements, restlessness, behavioral changes, and speaking out. Evaluate the patient for adverse effects of the analgesic.
What is the primary indication for hydromorphone? ›
Pharmacology. Hydromorphone is indicated for the management of moderate to severe acute pain and severe chronic pain. Due to its addictive potential and overdose risk, hydromorphone is only prescribed when other first-line treatments have failed.
What are the adverse effects of morphine ATI? ›
Adverse Effects
Other common side effects include central nervous system depression, nausea, vomiting, and urinary retention. Respiratory depression is among the more serious adverse reactions with opiate use that is especially important to monitor in the postoperative patient population.
What are the side effects of hydromorphone vet med? ›
Hydromorphone, an opiate agonist used off-label in animals as a sedative, analgesic and preanesthetic agent, can cause vomiting, defecation, panting, sedation, and CNS, respiratory and cardiac depression in dogs.
What are the long term effects of taking Dilaudid? ›
If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence). It is very important that you understand the rules of the Opioid Analgesic REMS program to prevent addiction, abuse, and misuse of hydromorphone.
Can hydromorphone make pain worse? ›
Opioid medications are commonly used to treat moderate-to-severe pain. While these medications are generally an effective means of pain control, they can, in rare cases, actually exacerbate the pain. This paradoxical reaction is called opioid-induced hyperalgesia (OIH).