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Doctor insights on: Intrathecal Dilaudid Pump

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What is 0.2 dilaudid in a pain pump?

What is 0.2 dilaudid in a pain pump?

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. ...Read more

Intrathecal (Definition)

Intrathecal is an adjective that refers to something introduced into or occurring in the space under the arachnoid membrane of the brain or spinal cord. Another way the word is used is to refer to an intrathecal injection (often simply called "an intrathecal"). This is an injection into the spinal canal, more specifically into the sub-arachnoid space so that ...Read more


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My husband is on a dilaudid pump since he has cancer and at the point he can't sleep. Is this a side effect?

My husband is on a dilaudid pump since he has cancer and at the point he can't sleep. Is this a side effect?

Not likely: Dilaudid usually causes pain relief and promotes a sleep state. However if you are not getting any pain relief and cannot sleep it is likely related to the underlying disease. ...Read more

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I have in my intathecal drug pump dilaudid. After each increase I have labored breathing. Now I'm having chest pain and Drs don't know why. Is it meds?

I have in my intathecal drug pump dilaudid. After each increase I have labored breathing. Now I'm having chest pain and Drs don't know why. Is it meds?

More info needed: Need more information...do you have cardiac problem, Respiratory issues/ Why are you receiving intrathecal OPIATES???????
Ask question again with more info

Dr Z ...Read more

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What is sugg onp ros vs. Cons on intrathecal pain pumps? I have heard a lot of neg effects! From unproper pain releif 2 death! Conceredw

What is sugg onp ros vs. Cons on intrathecal pain pumps? I have heard a lot of neg effects! From unproper pain releif 2 death! Conceredw

Discuss with Doc: There are some minor surgical risks but most risks are long term. There is a chance for pump failure and also issues with the catheter becoming clogged or having excess tissue growing at the tip. Pumps are best for short term use in terminal cancer. These are always a last resort and are for those patients who require high dose narcotics and are having too many side effects to tolerate oral med. ...Read more

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Can you tell me about the risks of having a intrathecal pain pump?

Can you tell me about the risks of having a intrathecal pain pump?

Intrathecal pump: Intrathecal therapy risks may be related to implantation, drug filling, drug side effects and chronic placement within the subarachnoid space. Implant risks may include bleeding, infection, nerve/spinal cord injury, etc. Drug refills may be associated with misplacement & toxicity/overdose. Chronic placement can lead to granuloma formation at the catheter tip resulting neurological deficits. ...Read more

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What are the risks of having a intrathecal pain pump?

What are the risks of having a intrathecal pain pump?

Limited: Implantation of a spinal pump, like other surgical and medical procedures, may present risks. Complications include risk of infection, bleeding, headache, allergic reaction, spinal fluid leakage, paralysis, and device malfunction. ...Read more

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Is there any reason why someone would not want to use an intrathecal pain pump?

Is there any reason why someone would not want to use an intrathecal pain pump?

Yes: Intrathecal pain pumps are a 'last resort' treatment for chronic intractable low back pain that is unresponsive to the more conventional therapies. The complications include but ate not limited to infection, catheter breakage, spinal headache, respiratory depression, and tolerance to increasing doses of medication. ...Read more

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How could I buy an intrathecal pain pump for a critical patient in Venezuela? I beg for your help.

Insertion: Who is going to insert and manage it? It needs to be filled with sterile meds when implanted and then it needs to be refilled every few months. Also the first few months are when dosing changes the most, who would do the adjustments and do they have the external monitor to do it? Even if you got the pump how will you deal with these hurdles? ...Read more

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Can you describe the intrathecal baclofen pump procedure?

Can you describe the intrathecal baclofen pump procedure?

Medtronic website: Your doctor should discuss it with you. The material is also availabe at the website (for patients) and in dvd. ...Read more

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Can you tell me about intrathecal baclofen pump procedure?

Can you tell me about intrathecal baclofen pump procedure?

A frequent procedure: Baclofen pumps are done frequently by neurosurgeons or pain specialists to help with spasticity (increased tone in the extremities).A spinal catheter is inserted into the lower spine into the lumbar space. This delivers the Baclofen around the nerves. The other end of the catheter is tunneled under the skin around the flank to the site where the pump is implanted usually on the front of the abdomen. ...Read more

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When is it appropriate to get an intrathecal pump for pain and digestion in advanced pancreatic cancer? Would it be a sign of the end or hospice?

When is it appropriate to get an intrathecal pump for pain and digestion in advanced pancreatic cancer? Would it be a sign of the end or hospice?

Use tens pad: Pain I not common complication of pancreatic cancer which primarily appears as a head lesion associated with jaundice. Pain is more common with body lesions perforating posteriorly into the celiac gangiion region. Here one can try a tens electric pad more easily controlled with oral pain meds than an intrathecal pump. Radiation may also control the pain if directed against the source of pain ...Read more

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A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?

A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?

Advanced cancer: It seems reasonable and sensitive to engage hospice; hospice can help at home or he can go to a facility; hospice team can engage for many weeks. It is a good service. ...Read more

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My brother was offered an intrathecal pain pump for germ cell cancer with mets in his pelvis, back, spine, lung, and liver. What are pros and cons?

My brother was offered an intrathecal pain pump for germ cell cancer with mets in his pelvis, back, spine, lung, and liver. What are pros and cons?

Pain relief: Sorry to hear you brother is so sick. The pump is a good alternative as it will provide constant and measured pain relief. Risks are mostly associated with the actual process of implantation (any surgical procedure has risks like infection, pain, etc.). Discuss with his physicians your concerns. ...Read more

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Would you recommend an intrathecal pain pump for my brother with germ cell cancer with mets to spine, pelvis, hip, back, lung, and liver? Pain's bad.

Would you recommend an intrathecal pain pump for my brother with germ cell cancer with mets to spine, pelvis, hip, back, lung, and liver? Pain's bad.

Yes.: Intrathecal pain pumps are ideal for treating severe cancer pain due to metastasis. There is significantly fewer side effects when narcotics are given this way compared to oral or IV meds which typically results in much better pain control and quality of life. ...Read more

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For what conditions is an interathecal pain pump used?

Severe pain: Typically for severe intractable cancer pain or pain from other conditions such as low back pain that is not well controlled by other means. ...Read more

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How strong is a 2mg of dilaudid?

Depends: In someone who is not used to opioids this can be a strong medication. It is indicated for moderate to severe pain. Dilaudid is about 4 times stronger than morphine. ...Read more

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What's the normal dose of dilaudid?

See below: For adult: oral: 2-4mg every 3-4 hours as needed
iv:0.2-0.6mg every 2-3 hour as needed. ...Read more

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Is dilaudid the best pain medication? Please advise!

There is no "best": It's a narcotic/opioid. All Opioid drugs work by binding to opioid receptors in the brain, spinal cord, and other areas of the body. They reduce the sending of pain messages to the brain and reduce feelings of pain. They have slight differences in their side effects, but overall they are quite similar. There is no " best "
...Read more

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I was wondering is dilaudid the best pain medication?

I was wondering is dilaudid the best pain medication?

Hard to say: The best medicine is no medicine. However if you need a pain medication, you need to be seen and evaluated properly by your doctor or pain management specialist. ...Read more

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Is taking 2 4mg Dilaudid the same as 1, 8mg Dilaudid?

YES: However, this is a potent narcotic and is not usually used for a tooth extraction. I would recommend the lowest possible dose (4mg) or call the prescribing dentist and request a safer pain medication. ...Read more

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Is morphine or dilaudid stronger?

Potency?: It depends on the amount of each. Dilaudid is more potent on a milligram to milligram basis. ...Read more

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What are the side effects of dilaudid?

What are the side effects of dilaudid?

Well: The primary effects are sedation, nausea, constipation, decreased respiratory drive and urinary retention. Oh and pain relief. ...Read more

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Which is better: oxycontin or dilaudid for pain?

Which is better: oxycontin or dilaudid for pain?

One is not better: Everyone responds differently to opioid pain medications and sometimes patients are switched from one to the other because it is not working well. Also, some patients may have unbearable side effects with one medication but not another.

There is no way to predict which medication or how much will work best in an individual patient. These medications should be prescribed by experienced doctors. ...Read more

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I NEED MY DILAUDID 4MG, CAN YOU PRESCRIBE THIS TO ME?

I NEED MY DILAUDID 4MG, CAN YOU PRESCRIBE THIS TO ME?

No: Seems like you need narcotics and you don't have a doctor. This is a bad situation for you. Along with the prescription must come the guidance on how to use this med responsibly, for legal and medical reasons. You need to learn to take care of your pain with nonprescription meds. Anything else you do is viewed as "soliciting". See a doctor, and work with them to help you deal with your problems. ...Read more

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Can taking dilaudids daily cause you to not menstrate and why?

Can taking dilaudids daily cause you to not menstrate and why?

No: Dilaudid will not cause your periods to stop. If you really are 49 you may be entering menopause. ...Read more

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Can I take dilaudid while pregnant?

Can I take dilaudid while pregnant?

FDA pregnancy CAT: C - would try to avoid using Dilaudid during pregnancy. ...Read more