Doctor insights on:
Dilaudid In Pregnancy
Emergency department doctor gave me dilaudid in my first trimester of my pregnancy, will my baby have side affects?
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Yes: That is a very large amount of dilaudid. Dilaudid is a powerful narcotic and opioid naive patients will normally start around 1-2 mg. I am not sure why you are asking, but please do not take this large of a dose and if you have and you do not normally take opioids, please have someone take you to the er. Otherwise, a 20mg dose at once should be avoided. I hope this answer helps.See 1 more doctor answer
Pain pump: Pain pumps are the intrathecal drug delivery systems that deliver the medicine directly to the spinal fluid. Dilaudid is about 5-7 times as strong as morphine. A drug in the spinal fluid is is about 300 times as strong as oral intake. Also Dilaudid is not one of the drugs approved by fda for intrathecal use, but is widely used for tolerant patients and need to be monitored closely.See 1 more doctor answer
Opioids: Both are opioids so side effects would be very similar. The fentanyl patch is on the skin, the Dilaudid is IV so it is uncomfortable, requires venopuncture, or for chronic use a devise like a pouch under the skin on the chest which adds more side effects and complications.See 2 more doctor answers
Few days: Sounds like you are worried about a drug screen. I hope that you have an active rx for this medication. I do not recommend hiding medication use from your employer. This is for your safety and those working with you.
Narcotic interaction: If you ask, likely not prescribed by your M.D. this way. In general, not necessarily good therapy to use 2 short-acting narcotics same time. If Percocet not effective, should be letting your M.D. know so regimen of medcation can be adjusted. Just adding Dilaudid to Percocet has significant potential problems including excessive sedation/respiratory depression/hyperalgesia. Contact your M.D. nowSee 1 more doctor answer
It could be: All semisynthetic opiates like hydromorphone (dilaudid) actually are broken down into Codeine and morphine, and it is the morphine that actually works. Some people lack the enzymes that break down the drug, so that it isn't turned into codeine, or Codeine isn't turned into morphine. You may have the enzymes that permit other semi-synthetics to be metabolized. This is common with Codeine in kids.
May be genetic: Some people lack the specific enzymes that convert an opioid into the active molecule. This is well known with codeine, and may be the case in certain people with other semi-synthetic drugs, like hydromorphone, as well.
Hard to say: There are certain enzymes that metabolize opioids into the active ingredient, which ultimately is morphine. There are people who lack, for example, the enzyme that turns Codeine into morphine, and therefore Codeine doesn't work for them. You may have something similar where hydromorphone isn't metabolized into morphine, or isn't transported to the brain properly.
Possibly: In general, any opioid can be as effective as another if carefully titrated to an effective dose. That stated, different opioids bind mu, kappa, and delta receptors differently and each patient's genetics, liver function, and kidney function can affect how they work.See 4 more doctor answers
No such thing: I would suggest that you speak with your doctor about taking this medication. Just an fyi, Dilaudid is about 7.5-8x stronger than morphine, so without proper guidance it would be hard to say what you need. For osteoarthritis flare I would suggest either a Medrol (methylprednisolone) dose pack or strong anti-inflammatory like toradol instead of pain med.See 1 more doctor answer
How do people get dilaudid and oxycotin and numorphan (oxymorphone) so easily when they are celebs?
Like Everything Else: They buy it illegally or they get a doctor to write them a prescription. Some perfomers actually do have legitimate pain problems but the lifestyle sometimes leads to other complications and addictions. When you have $$$ $, you can always find those willing to oblige with whatever.See 1 more doctor answer
My doc just increased my meds (dilaudid) from 1mg to 2mg for breakthrough pain. Should I notice much difference?
Better pain relief: If you are having increased breakthrough pain and your physician adjusted breakthrough pain medication dose. You should experience better pain relief assuming your pain is opioid responsive. Since you are not opioid naive, you should not have much side effects, but also with increased dose you have to be vigilant about possible increased sedation.
What is the benefit of using IM Dilaudid vs IV Dilaudid? Aren't they equal analgesia? Same onset, peak and duration?
Different: So when drugs are given IV they are instantaneous. When they are given IM (or through the muscle it takes longer to be effective. Although usually are both effective treatment but it would help to know why you are getting these drugs? A procedure? What kind?See 1 more doctor answer