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
Chronic pain 136 54
Pain 136 66
fibromyalgia 54 26
Breakthrough pain 19 11
Pain in lower back 10 4
migraine 7 5

Show all 102 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 44
None 45

Commonly reported side effects and conditions associated with Hydromorphone

Side effect Patients
Constipation 22
Drowsiness 8
Nausea 7
Fatigue 6
Chronic constipation 5
Nausea and vomiting 5

Show all 82 reported side effects

Dosages

Based on patients currently taking Hydromorphone

Dosage Patients
4mg as needed 9
2 mg four times daily 6
4 mg four times daily 4
2mg as needed 3
2 mg daily 2
4 mg daily 2
8 mg twice daily 2
6 mg three times daily 2
1mg as needed 2
4mg/mL as needed 2

See all 32 dosages

Why patients stopped taking Hydromorphone

Multiple reasons could be selected

Reason Patients
Doctor's advice 28
Course of treatment ended 27
Other 22
Side effects too severe 21
Did not seem to work 17
Change in health plan coverage 1
Expense 1
Personal research 1
See all 92 patients who've stopped taking Hydromorphone

Duration

Currently taking Hydromorphone

Duration Patients
1 - 6 months 4
6 months - 1 year 5
1 - 2 years 11
2 - 5 years 22
5 - 10 years 10
10 years or more 4

Stopped taking Hydromorphone

Duration Patients
Less than 1 month 35
1 - 6 months 17
6 months - 1 year 11
1 - 2 years 13
2 - 5 years 10
5 - 10 years 6
Adherence
Adherence Evaluations
Always 94
Usually 27
Sometimes 11
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 94
Cost per month
Cost per month Evaluations
$200+ 0
$100-199 6
$50-99 4
$25-49 1
< $25 53
Not specified 73

What people switch to and from

Patients started taking Hydromorphone after stopping:

Treatment Patients
Oxycodone (Oxycodone IR) 10
Fentanyl patch (Duragesic) 5
Morphine (Morphine ER) 5
Hydrocodone-Acetaminophen (Norco) 3
Ibuprofen Prescription (Motrin Prescription) 3

Show all 23 treatments patients report switching from

Patients stopped taking Hydromorphone and switched to:

Treatment Patients
Fentanyl patch (Duragesic) 4
Morphine (Morphine ER) 4
Oxycodone-acetaminophen (Percocet) 4
Buprenorphine-Naloxone (Suboxone) 2
Morphine Sulfate IR (MSIR) (Statex) 2

Show all 13 treatments patients report switching to

Last updated:

16 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 (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
Last updated:
Showing 3 of 16 patient evaluations for Hydromorphone