What is Hydromorphone?

Category: Prescription Drugs

Most popular types: Dilaudid Hydromorph Contin Jurnista 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 141 68
Fibromyalgia 54 25
Breakthrough pain 25 16
Pain in lower back 10 4
Migraine 7 5

Show all 88 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 13
Moderate 39
Mild 54
None 47

Commonly reported side effects and conditions associated with Hydromorphone

Side effect Patients Percentage
Constipation 27
Drowsiness 12
Nausea 9
Chronic constipation 7
Fatigue 6
Dizziness 4

Show all 67 reported side effects

Dosages

Based on patients currently taking Hydromorphone

Dosage Patients Percentage
4mg as needed 5
2 mg four times daily 3
2mg as needed 3
8 mg three times daily 2
1mg as needed 2
2 mg daily 1
4 mg daily 1
2 mg three times daily 1
4 mg twice daily 1
2 mg five times daily 1

See all 16 dosages

Why patients stopped taking Hydromorphone

Multiple reasons could be selected

Reason Patients Percentage
Course of treatment ended 28
Doctor's advice 28
Other 24
Side effects too severe 23
Did not seem to work 18
Change in health plan coverage 3
Expense 2
Personal research 1
See all 99 patients who've stopped taking Hydromorphone

Duration

Currently taking Hydromorphone

Duration Patients Percentage
6 months - 1 year 3
1 - 2 years 2
2 - 5 years 13
5 - 10 years 8
10 years or more 1

Stopped taking Hydromorphone

Duration Patients Percentage
Less than 1 month 37
1 - 6 months 16
6 months - 1 year 11
1 - 2 years 15
2 - 5 years 14
5 - 10 years 7
Adherence
Adherence Evaluations Percentage
Always 108
Usually 27
Sometimes 12
Never taken as prescribed 6
Burden
Burden Evaluations Percentage
Very hard to take 12
Somewhat hard to take 11
A little hard to take 26
Not at all hard to take 104
Cost per month
Cost per month Evaluations Percentage
$200+ 2
$100-199 7
$50-99 4
$25-49 2
< $25 53
Not specified 85

What people switch to and from

Patients started taking Hydromorphone after stopping:

Treatment Patients Percentage
Oxycodone (Oxycodone IR) 15
Fentanyl patch (Duragesic) 8
Hydrocodone-Acetaminophen (Norco) 8
Morphine (Morphine ER) 5
Oxycodone-acetaminophen (Percocet) 5

Show all 27 treatments patients report switching from

Patients stopped taking Hydromorphone and switched to:

Treatment Patients Percentage
Fentanyl patch (Duragesic) 6
Oxycodone-acetaminophen (Percocet) 5
Morphine (Morphine ER) 3
Morphine IR (Statex) 2
tapentadol (Nucynta) 2

Show all 18 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