What is Hydromorphone?

Category: Prescription Drugs

Most popular types: Dilaudid Hydromorph Contin Dilaudid-HP Show all

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Hydromorphone (trade names Palladone IR, Palladone SR, Dilaudid and numerous others) is a potent centrally-acting analgesic drug of the opioid class; it is a derivative of morphine, specifically a hydrogenated ketone thereof -- therefore a semi-synthetic drug and both an opiate and a true narcotic.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Pain 170 71
Fibromyalgia 59 25
Breakthrough pain 27 18
Pain in lower back 11 4
Migraine headaches 10 4

Show all 99 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 14
Moderate 41
Mild 57
None 49

Commonly reported side effects and conditions associated with Hydromorphone

Side effect Patients Percentage
Constipation 28
Drowsiness 11
Nausea 10
Chronic constipation 6
Fatigue 6
Dizziness 4

Show all 70 reported side effects

Dosages

Based on patients currently taking Hydromorphone

Dosage Patients Percentage
4 mg daily 3
2 mg four times daily 2
8 mg three times daily 2
2mg as needed 2
3 mg twice daily 1
12 mg daily 1
4 mg three times daily 1
4 tablet(s) three times daily 1
4 mg four times daily 1
8 mg four times daily 1

See all 13 dosages

Why patients stopped taking Hydromorphone

Multiple reasons could be selected

Reason Patients Percentage
Doctor's advice 32
Course of treatment ended 29
Other 26
Side effects too severe 24
Did not seem to work 19
Change in health plan coverage 3
Expense 2
Personal research 2
See all 106 patients who've stopped taking Hydromorphone

Duration

Currently taking Hydromorphone

Duration Patients Percentage
6 months - 1 year 1
1 - 2 years 2
2 - 5 years 8
5 - 10 years 6
10 years or more 2

Stopped taking Hydromorphone

Duration Patients Percentage
Less than 1 month 37
1 - 6 months 16
6 months - 1 year 10
1 - 2 years 15
2 - 5 years 15
5 - 10 years 8
Adherence
Adherence Evaluations Percentage
Always 113
Usually 29
Sometimes 12
Never taken as prescribed 7
Burden
Burden Evaluations Percentage
Very hard to take 13
Somewhat hard to take 13
A little hard to take 27
Not at all hard to take 108
Cost per month
Cost per month Evaluations Percentage
$200+ 2
$100-199 8
$50-99 4
$25-49 2
< $25 55
Not specified 90

What people switch to and from

Patients started taking Hydromorphone after stopping:

Treatment Patients Percentage
Oxycodone (Oxycodone IR) 17
Hydrocodone-Acetaminophen (Norco) 9
Fentanyl patch (Duragesic) 8
Morphine (Morphine ER) 6
Oxycodone-acetaminophen (Percocet) 6

Show all 28 treatments patients report switching from

Patients stopped taking Hydromorphone and switched to:

Treatment Patients Percentage
Fentanyl patch (Duragesic) 8
Oxycodone-acetaminophen (Percocet) 7
Morphine (Morphine ER) 6
Buprenorphine-Naloxone (Suboxone) 3
Fentanyl (Actiq) 2

Show all 21 treatments patients report switching to

Last updated:

15 patient evaluations for Hydromorphone

Apr 24, 2017 (Started Jan 15, 2016)

  • Effectiveness
    Moderate (for air hunger)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 4 mg Four times daily
Advice & Tips: careful, it's addictive
Cost: < $25 monthly

  • 0 helpful marks

Oct 12, 2015 (Started Jul 01, 2003)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    Moderate (drowsiness, dryness, constipation)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 12 mg Daily
Advice & Tips: As a last resort only would I recommend this powerful medication. Only after trying absolutely everything my doctor suggested did we resort to Narcotic Pain relievers. It's impact on my life is significant as the drowsiness is quite apparent. However I was completely immobile without it. It is a lesser of two evils situation.
Cost: $50-99 monthly

  • 0 helpful marks

Oct 12, 2015 (Started Mar 09, 2003)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    Moderate (fuzzy thinking, dizziness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 72 mg Daily
Cost: $100-199 monthly

Feb 2, 2012 (Started Mar 09, 2003)

  • Effectiveness
    Major (for fibromyalgia)
  • Side effects
    Moderate (fuzzy thinking, dizziness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 3 mg Daily
Advice & Tips: Should be used as a last resort. Try to keep dosage at same level as long as possible before increasing dosage.
Cost: $100-199 monthly

  • 0 helpful marks
Last updated:
Showing 3 of 15 patient evaluations for Hydromorphone