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 135 68
Fibromyalgia 54 25
Breakthrough pain 20 12
Pain in lower back 10 4
Migraine 7 5

Show all 90 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
Severe 12
Moderate 39
Mild 53
None 46

Commonly reported side effects and conditions associated with Hydromorphone

Side effect Patients
Constipation 28
Drowsiness 9
Nausea 8
Chronic constipation 6
Fatigue 6
Dizziness 4

Show all 68 reported side effects

Dosages

Based on patients currently taking Hydromorphone

Dosage Patients
4mg as needed 9
2mg as needed 5
2 mg four times daily 4
8 mg three times daily 4
4 mg daily 2
2 mg three times daily 2
12 mg daily 2
8 mg twice daily 2
8 mg four times daily 2
0.5 mg five times daily 1

See all 24 dosages

Why patients stopped taking Hydromorphone

Multiple reasons could be selected

Reason Patients
Course of treatment ended 28
Doctor's advice 28
Other 23
Side effects too severe 23
Did not seem to work 18
Change in health plan coverage 3
Expense 2
Personal research 1
See all 98 patients who've stopped taking Hydromorphone

Duration

Currently taking Hydromorphone

Duration Patients
1 - 6 months 5
6 months - 1 year 1
1 - 2 years 7
2 - 5 years 18
5 - 10 years 11
10 years or more 7

Stopped taking Hydromorphone

Duration Patients
Less than 1 month 36
1 - 6 months 16
6 months - 1 year 10
1 - 2 years 15
2 - 5 years 14
5 - 10 years 7
Adherence
Adherence Evaluations
Always 104
Usually 28
Sometimes 10
Never taken as prescribed 8
Burden
Burden Evaluations
Very hard to take 11
Somewhat hard to take 12
A little hard to take 26
Not at all hard to take 101
Cost per month
Cost per month Evaluations
$200+ 2
$100-199 7
$50-99 4
$25-49 2
< $25 55
Not specified 80

What people switch to and from

Patients started taking Hydromorphone after stopping:

Treatment Patients
Oxycodone (Oxycodone IR) 13
Fentanyl patch (Duragesic) 8
Hydrocodone-Acetaminophen (Norco) 6
Morphine (Morphine ER) 5
Oxycodone-acetaminophen (Percocet) 4

Show all 25 treatments patients report switching from

Patients stopped taking Hydromorphone and switched to:

Treatment Patients
Fentanyl patch (Duragesic) 5
Oxycodone-acetaminophen (Percocet) 4
Morphine (Morphine ER) 3
Buprenorphine-Naloxone (Suboxone) 2
Morphine IR (Statex) 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 (constipation, dryness, drowsiness)
  • 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: 3 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