5 doctors weighed in:

What is the max dose of hydromorphone contin for ankylosing spondylitis pain per day?

5 doctors weighed in
Dr. David Rosenfeld
Pain Management
3 doctors agree

In brief: Maximum Dose

By "hydromorphone contin" i asume you mean long acting hydromorphone or exalgo.
There is no maximum dose of any pure mu opioid medication. That said going up and up and up on a drug with no meaningful improvement in pain or level of function makes no sense.

In brief: Maximum Dose

By "hydromorphone contin" i asume you mean long acting hydromorphone or exalgo.
There is no maximum dose of any pure mu opioid medication. That said going up and up and up on a drug with no meaningful improvement in pain or level of function makes no sense.
Dr. David Rosenfeld
Dr. David Rosenfeld
Thank
Dr. Kenneth Choquette
Pain Management
1 doctor agrees

In brief: Co-analgesics

What is more important than "maximum"dose, is clinically effective dosing.
Was the medication working then stopped working? Was it never effective? Small slow increases might be needed if a patient is becoming "tolerant" to the drug, or if the condition is worsening. If the med isn't working, switching narcotics or adding co-analgesic agents might be best.

In brief: Co-analgesics

What is more important than "maximum"dose, is clinically effective dosing.
Was the medication working then stopped working? Was it never effective? Small slow increases might be needed if a patient is becoming "tolerant" to the drug, or if the condition is worsening. If the med isn't working, switching narcotics or adding co-analgesic agents might be best.
Dr. Kenneth Choquette
Dr. Kenneth Choquette
Thank
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