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Dilaudid is the brand name for hydromorphone, a powerful opioid analgesic used to manage moderate to severe pain, especially when other pain medications are not effective. It works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain and altering the body’s response to discomfort. Dilaudid is often prescribed after surgery, for injury-related pain, or in palliative care settings.

Dosage of Dilaudid depends on the severity of pain, patient opioid tolerance, and overall health. For adults using immediate-release formulations, typical doses start at 2–4 mg every 4–6 hours as needed. Extended-release forms are used for chronic pain and are usually taken once or twice daily. Dilaudid should be taken exactly as prescribed, and tablets or liquid forms should never be crushed, chewed, or taken in higher doses, as this can lead to overdose.

There are important warnings associated with Dilaudid use. It carries a high risk of addiction, misuse, and physical dependence, even when taken as directed. Dilaudid can cause respiratory depression, meaning slow or shallow breathing, which can be life-threatening—especially when combined with alcohol, benzodiazepines, or other central nervous system depressants. Patients with lung disease, liver or kidney issues, or a history of substance use disorder should use Dilaudid with caution.

Common side effects of Dilaudid include drowsiness, constipation, nausea, vomiting, dizziness, and itching. Serious side effects may include confusion, low blood pressure, slow or irregular breathing, or loss of consciousness. Patients should avoid driving or operating heavy machinery until they understand how Dilaudid affects them. Immediate medical attention is required if symptoms of overdose occur, such as extreme sleepiness, blue lips, or difficulty breathing.