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Dilaudid, Dilaudid-5, Hydrostat IR, Palladone, |Palladone Palladone

Palladone

Generic Name: hydromorphone (oral) (hy dro MOR fone)
Brand Names: Dilaudid, Dilaudid-5, Hydrostat IR, Palladone

What is hydromorphone?

Hydromorphone is in a group of drugs called narcotic pain relievers. It is similar to morphine.

Hydromorphone is used to treat moderate to severe pain.

Hydromorphone may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about hydromorphone?

Keep track of how many tablets have been used from each new bottle of this medicine. Hydromorphone is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Never take more hydromorphone than is prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

You should not use an extended-release form of hydromorphone (such as Palladone) unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Opioid medicines include fentanyl (Actiq, Duragesic), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph, and others), oxycodone (Oxycontin), oxymorphone (Opana), or any other forms of hydromorphone. Talk with your doctor if you are not sure you are opioid-tolerant.

What should I discuss with my healthcare provider before using hydromorphone?

Before using hydromorphone, tell your doctor if you are allergic to any drugs, or if you have:

• asthma, COPD, sleep apnea, or other breathing disorders;

• liver disease;
• kidney disease;

• underactive thyroid;

• curvature of the spine;

• a history of head injury or brain tumor;

• epilepsy or other seizure disorder;

• low blood pressure;

• gallbladder disease;

• Addison"s disease or other adrenal gland disorders;

• enlarged prostate, urination problems;

• mental illness; or

• a history of drug or alcohol addiction.

If you have any of these conditions, you may not be able to use hydromorphone, or you may need a dosage adjustment or special tests during treatment.

Keep track of how many tablets have been used from each new bottle of this medicine. Hydromorphone is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

You should not use an extended-release form of hydromorphone (such as Palladone) unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Opioid medicines include fentanyl (Actiq, Duragesic), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph, and others), oxycodone (Oxycontin), oxymorphone (Opana), or any other forms of hydromorphone. Talk with your doctor if you are not sure you are opioid-tolerant.

How should I use hydromorphone?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Too much hydromorphone could be very harmful. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Measure the liquid form of hydromorphone with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Avoid getting hydromorphone liquid on your skin. It can be absorbed through your skin, and you may get too large a dose.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using hydromorphone. You may need to stop using the medicine for a short time.

After you have stopped using this medication, flush any unused pills down the toilet.

Throw away any unused liquid hydromorphone that is older than 90 days.

What happens if I miss a dose?

Since hydromorphone is sometimes used as needed, you may not be on a dosing schedule. If you are using the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Symptoms of a hydromorphone overdose may include extreme drowsiness, muscle weakness, confusion, cold and clammy skin, pinpoint pupils, shallow breathing, slow heart rate, fainting, or coma.

What should I avoid while using hydromorphone?

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by hydromorphone, which could result in extreme drowsiness or coma.

Hydromorphone side effects

• shallow breathing, slow heartbeat;

• seizure (convulsions);

• cold, clammy skin;

• confusion;

• severe weakness or dizziness; or

• feeling light-headed, fainting.

Less serious side effects are more likely to occur, such as:

• constipation;

• warmth, tingling, or redness under your skin;

• nausea, vomiting, diarrhea, loss of appetite;

• dizziness, headache;

• dry mouth;

• sweating;

• itching; or

• sleep problems (insomnia).

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect hydromorphone?

Before using hydromorphone, tell your doctor if you are using pentazocine (Talwin), nalbuphine (Nubain), butorphanol (Stadol), or buprenorphine (Buprenex, Subutex). If you are using any of these drugs, you may not be able to use hydromorphone, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect hydromorphone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist has information about hydromorphone written for health professionals that you may read.

What does my medication look like?

Hydromorphone is available with a prescription under the brand names Dilaudid, Hydrostat, and Palladone. Other brand or generic forms may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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