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Summary Of Hydromorphone

Hydromorphone is a potent Opioid analgesic that includes morphine. It has an analgesic potency that is two to eight times greater than morphine and has a rapid onset of action.

It is used in treating and managing moderate to severe acute or severe chronic pain in adults. This medication is prescribed by doctors when all other Opioid and non-opioid medications fail to work.

This medication comes in immediate and extended-release tablets and is recommended for the short-term treatment of pain. It is mainly used in managing pain and alleviating discomfort.

It is an Opioid based pain medicine that is recommended to be used only on a doctor’s prescription. It is not the same as morphine, it is much more potent than that. So remember to be cautious not to confuse the two.

Its rapid onset of action makes it more effective in relieving and managing pain. It works directly on the opioid receptors in the central nervous system by interrupting the way the nerves signal the pain between the body and the brain.

Who Can Use Hydromorphone

Adults suffering from mild to severe acute and severe chronic pain that requires Opioid analgesics can use it on a doctor’s prescription. Take the doses at the same time each day, with or without having food.

Hydromorphone is the most powerful Opioid medicine, and because of that, it contains a higher risk of abuse, misuse, and addiction. Using any other Opioid medication with this medication can lead to serious shrug interaction that may prove to be fatal to your health.

Hydromorphone extended-release capsules or extended-release tablets are prescribed for opioid-tolerant patients only. If you are uncertain whether you are opioid-tolerant or not, then talk to your doctor before using this medicine.

This medication is not meant for children below 18 years of age. This medication should only be used by opioid-tolerant patients, and if you are not Opioid tolerant and still use this medication, it can be fatal to your health.

Who Cannot Use Hydromorphone?

Most people 18 years or above can use Hydromorphone, but some people are not advised to use this medication who have any of these conditions given below –

• Allergic to Hydromorphone or narcotic medicines
• Severe asthma or breathing problems
• Blockage in the stomach or intestine
• A bowel obstruction (paralytic ileus)
• Urination problems
• Sulfite allergy
• Problems with the gallbladder, thyroid, or pancreas
• Have any substance use disorders?
• Kidney, liver or lung disease

How To Use It

You must not increase the dose unless you are advised by your doctor to do so. Read the recommendations mentioned on your prescription chart and use it as prescribed. Doses of this medication are recommended based on a person’s mental health conditions.

For Moderate To Severe Pain

The initial dose of an immediate-release tablet is 2 – 4 mg to be taken every 4 – 6 hours in a day. Your doctor may adjust or increase your dose as required.

The usual dose of oral liquid is 2.5 – 10 mg (2.5 -10 mL), taken every 2 – 3 hours in a day.

For Chronic Severe Pain

Opioid-tolerant patients only use extended-release tablets, 8 – 64 mg per day. When using oral liquid solution, the recommended dose is 2.5 – 10 mg, taken every 2 – 3 hours.

Side Effects And Risks Of Hydromorphone

Opioid medications have a higher potency for abuse, misuse, and addiction that can cause mild to moderate or severe side effects that can be dangerous to your health.

Some Common Side Effects

• Dizziness
• Drowsiness
• Lightheadedness
• Feeling sick
• Constipation
• Sweating
• Euphoria
• Headache
• Dry mouth
• Fatigue

Some More Severe Side Effects

CNS Depression – Overdose can cause shortness of breath, slow or shallow breathing, dizziness, confusion, feeling like fainting, and difficulty staying awake.

Low-adrenal gland function – Dizziness, unusual weakness or fatigue, loss of appetite.

Low blood pressure – Blurry vision, lightheadedness, feeling like fainting, and dizziness.

Allergic Reactions – Itching, hives, rashes on the skin, swelling on face, lips, tongue or throat.

Warnings And Preventions Of Using Hydromorphone

Opioid analgesics can be safely used with certain precautions, so remember these warnings to get the most effective results from this medication.

• Avoid drinking alcohol because using Hydromorphone and alcohol together can increase the risks of respiratory depression.
• Avoid overdosing on this medication. Otherwise, it can slow or stop your breathing, which can lead to severe CNS or respiratory depression.
• Talk to your doctor if you have or have had any history of kidney or liver disease, as it may prove to be life-threatening to your health.
• While a severe allergic reaction is rarely seen, in some cases, it causes allergic reactions such as itching, rashes, and swelling of the face, lips, tongue, or throat.
• This medication should not be used during pregnancy and the breastfeeding period, as it can be harmful to the neonates.
• Eat dietary fibers, and drink enough water to prevent constipation.

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Conclusion

Hydromorphone should only be used for the short-term treatment of pain, as it can cause dependency and addiction when used for a prolonged period and can be harmful to your health when used without a doctor’s prescription.

You can safely use this medication on a doctor’s prescription for safe and effective treatment when all other Opioid and non-opioid medications fail to work or are ineffective on the pain.

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