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Dilaudid is the brand name for hydromorphone, a powerful prescription opioid used to manage moderate to severe pain, especially when other pain medications are ineffective. It works by binding to opioid receptors in the brain and spinal cord, changing how the body perceives and responds to pain. Due to its high potency, Dilaudid is often prescribed for short-term use or for patients with severe pain following surgery or injury.

The appropriate dosage of Dilaudid depends on the patient’s pain level, prior opioid use, and overall medical condition. For oral tablets, typical starting doses range from 2 mg to 4 mg every 4–6 hours as needed. Injectable forms may be given in much smaller doses under medical supervision. Patients should never exceed the prescribed dose, as even small increases can significantly raise the risk of overdose and respiratory depression.

Common side effects of Dilaudid include drowsiness, dizziness, nausea, vomiting, constipation, sweating, and dry mouth. Some individuals may also experience headache, mood changes, or itching. Serious side effects can include slow or difficult breathing, low blood pressure, confusion, or loss of consciousness, which require immediate medical attention.

There are critical warnings associated with Dilaudid use. It carries a boxed warning for addiction, abuse, and misuse, which can lead to overdose or death. Combining Dilaudid with alcohol, benzodiazepines, or other central nervous system depressants greatly increases the risk of fatal breathing problems. It should be used with extreme caution in patients with lung disease, head injury, or liver or kidney impairment. Pregnant or breastfeeding individuals should avoid Dilaudid unless specifically directed by a healthcare provider. Ongoing medical monitoring is essential to ensure safe and effective pain management.