About 5 fold. Dilaudid (hydromorphone) is about 5 times as potent.
5x. Hydrocodone's main mechanism of action is being metabolized into hydromorphone by the liver. On a mg basis i cosider hydromorphone to be 5-7.5 times more potent.
Dilaudid is much. Stronger then hydrocodone, somewhere in the 20 times stronger range and the jump should not be made from hydrocodone to Dilaudid (or oxymorphone). Speak with your physician about mid level opioids if you definitely need them, such as oxycodone. Also ask for long acting to help keep a steady state in your system to avoid peaks and troughs and decrease abuse potential. Read more...