What is Hydromorphone?

Category: Prescription Drugs

Most popular types: Dilaudid Hydromorph Contin Exalgo (hydromorphone ER) 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
Chronic pain 141 54
Pain 136 64
Fibromyalgia 55 24
Breakthrough pain 19 11
Pain in lower back 10 4
Migraine 7 5

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
Severe 12
Moderate 36
Mild 43
None 45

Commonly reported side effects and conditions associated with Hydromorphone

Side effect Patients
Constipation 25
Drowsiness 9
Fatigue 7
Nausea 7
Chronic constipation 5
Nausea and vomiting 5

Show all 78 reported side effects

Dosages

Based on patients currently taking Hydromorphone

Dosage Patients
4mg as needed 12
2mg as needed 5
4 mg daily 3
12 mg daily 2
4 mg three times daily 2
1mg as needed 2
4mg/mL as needed 2
2 mg daily 1
1 mg four times daily 1
2 mg twice daily 1

See all 30 dosages

Why patients stopped taking Hydromorphone

Multiple reasons could be selected

Reason Patients
Course of treatment ended 27
Doctor's advice 27
Other 21
Side effects too severe 21
Did not seem to work 14
Change in health plan coverage 1
Expense 1
Personal research 1
See all 89 patients who’ve stopped taking Hydromorphone

Duration

Currently taking Hydromorphone

Duration Patients
1 - 6 months 4
6 months - 1 year 4
1 - 2 years 15
2 - 5 years 15
5 - 10 years 12
10 years or more 2

Stopped taking Hydromorphone

Duration Patients
Less than 1 month 33
1 - 6 months 17
6 months - 1 year 11
1 - 2 years 12
2 - 5 years 9
5 - 10 years 7
Adherence
Adherence Evaluations
Always 95
Usually 26
Sometimes 10
Never taken as prescribed 5
Burden
Burden Evaluations
Very hard to take 11
Somewhat hard to take 7
A little hard to take 25
Not at all hard to take 93
Cost per month
Cost per month Evaluations
$200+ 0
$100-199 7
$50-99 4
$25-49 1
< $25 51
Not specified 73

What people switch to and from

Patients started taking Hydromorphone after stopping:

Treatment Patients
Oxycodone (Oxycodone IR) 9
Morphine (Morphine ER) 6
Fentanyl Transdermal Patch (Duragesic) 5
Oxycodone-acetaminophen (Percocet) 3
Buprenorphine-Naloxone (Suboxone) 2

Show all 22 treatments patients report switching from

Patients stopped taking Hydromorphone and switched to:

Treatment Patients
Fentanyl Transdermal Patch (Duragesic) 4
Oxycodone-acetaminophen (Percocet) 4
Morphine (Morphine ER) 2
Morphine Sulfate IR (MSIR) (Statex) 2
Amitriptyline (Elavil) 1

Show all 13 treatments patients report switching to

Last updated:

15 patient evaluations for Hydromorphone

109 members have decided to share their profiles only with other members of PatientsLikeMe.

vniagara
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vniagara
Gender: M
Data Quality: 0 stars
Pain: All
Fatigue: Most
Sleep: Some
Stiffness: All
function: Little
external_stress: Some
Stickman: most
Description:M43y
FM:14y Dx
I have:
Fibromyalgia

See vniagara's full Hydromorphone history

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
vniagara
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vniagara
Gender: M
Data Quality: 0 stars
Pain: All
Fatigue: Most
Sleep: Some
Stiffness: All
function: Little
external_stress: Some
Stickman: most
Description:M43y
FM:14y Dx
I have:
Fibromyalgia

See vniagara's full Hydromorphone history

Oct 12, 2015 (Started Mar 09, 2003)

  • Effectiveness
    Major (for Fibromyalgia)
  • Side effects
    Moderate (Cloudy 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 (Cloudy 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
arachnoiditis555
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arachnoiditis555
Data Quality: 1 star
  • Gender: M
  • Age: 41
Condition: Arachnoiditis 3 additional condition(s)
Quality of life:
  • Mental: Moderate
  • Physical: Moderate
I am: n
I have:
Arachnoiditis

See arachnoiditis555's full Hydromorphone history

Aug 23, 2015 (Started Jan 15, 2014)

  • Effectiveness
    Slight (for Pain)
  • Side effects
    Moderate (Cognitive confusion)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 20 mg Daily
Advice & Tips: Dilaudid barely took the edge off the pain, while causing me not to be able to think straight. I would constantly lose my train of thought, search for words I wanted to say, etc. No euphoria to speak of thank God.

Aug 7, 2015 (Started Jan 15, 2014)

  • Effectiveness
    Slight (for Pain)
  • Side effects
    Moderate (Cognitive confusion)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 20 mg Daily
Advice & Tips: I didn't like Dilaudid due to the cognitive side effects.

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