This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. If too much of this medicine is taken for a long time, it may become habit-forming causing mental or physical dependence.
It is very important that you understand the rules of the Opioid Analgesic REMS program to prevent addiction, abuse, and misuse of hydromorphone. This medicine should also come with a Medication Guide.
Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid.
Do not switch from the extended-release tablets to the immediate-release tablets unless your doctor tells you to. Be careful not to handle crushed or broken tablets. If you have contact with broken or crushed tablets or spilled oral liquid, wash your skin or the affected areas with soap and water right away.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine.
If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule.
Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Hydromorphone can cause serious unwanted effects or fatal overdose if taken by children, pets, or adults who are not used to strong narcotic pain medicines.
Make sure you store the medicine in a safe and secure place to prevent others from getting it. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.
It is very important that your doctor check your progress while you are using this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects. This medicine will add to the effects of alcohol and other CNS depressants medicines that can make you drowsy or less alert.
CNS depressants are medicines that slow down the nervous system, which may cause drowsiness or make you less alert. Some examples of CNS depressants are antihistamines or medicine for hay fever, allergies, or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics numbing medicines , including some dental anesthetics.
This effect may last for a few days after you stop using this medicine. Check with your doctor before taking any of the other medicines listed above while you are using this medicine. This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose.
Call your doctor for instructions. This medicine may cause adrenal gland problems. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.
Do not use more of it or use it more often than prescribed by your doctor, While using hydromorphone injection, discuss with your health care provider your pain treatment goals, length of treatment, and other ways to manage your pain. Tell your doctor if you or anyone in your family drinks or has ever drunk large amounts of alcohol, uses or has ever used street drugs, or has overused prescription medications, or has had an overdose, or if you have or have ever had depression or another mental illness.
There is a greater risk that you will overuse hydromorphone if you have or have ever had any of these conditions. Talk to your health care provider immediately and ask for guidance if you think that you have an opioid addiction or call the U.
Hydromorphone injection is available as a regular strength solution Dilaudid and a concentrated solution Dilaudid-HP that contains more hydromorphone in each milliliter of solution. Your doctor should only prescribe the concentrated solution if you are opioid tolerant have been treated with certain doses of narcotic medications for at least 1 week, allowing your body to adjust to this type of medication.
The concentrated solution may cause serious side effects or death if it is used by a person who is not opioid tolerant. Be sure that you know which hydromorphone solution your doctor has prescribed, and always check to be sure you are receiving the correct medication.
Do not allow anyone else to use your medication. Store hydromorphone injection in a safe place so that no one else can use it accidentally or on purpose. Keep track of how much medication is left so you will know if any is missing. Taking certain medications during your treatment with hydromorphone injection may increase the risk that you will develop serious, life-threatening breathing problems, sedation, or coma.
Tell your doctor if you are taking or plan to take any of the following medications: benzodiazepines such as alprazolam Xanax , chlordiazepoxide Librium, in Librax , clonazepam Klonopin , diazepam Diastat, Valium , estazolam, flurazepam, lorazepam Ativan , oxazepam, temazepam Restoril , and triazolam Halcion ; medications for mental illness or nausea; muscle relaxants; other narcotic pain medications; sedatives; sleeping pills; or tranquilizers.
Your doctor may need to change the doses of your medications and will monitor you carefully. If you use hydromorphone injection with any of these medications and you develop any of the following symptoms, call your doctor immediately or seek emergency medical care: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness. Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own.
Drinking alcohol, taking prescription or nonprescription medications that contain alcohol, or using street drugs during your treatment with hydromorphone injection increases the risk that you will experience serious, life-threatening side effects.
Do not drink alcohol, take prescription or nonprescription medications that contain alcohol, or use street drugs during your treatment. Hydromorphone injection is used to relieve pain. Hydromorphone injection is in a class of medications called opiate narcotic analgesics. It works by changing the way the brain and nervous system respond to pain.
Hydromorphone injection comes as a solution liquid to inject under the skin, into a vein, or into a muscle. It is usually injected once every 2 to 3 hours as needed. Use hydromorphone injection exactly as directed. Your doctor may adjust your dose of hydromorphone injection during your treatment, depending on how well your pain is controlled and on the side effects that you experience.
Talk to your doctor about how you are feeling during your treatment with hydromorphone injection. If you have used hydromorphone injection for longer than a few days, do not stop using it suddenly.
If you suddenly stop using hydromorphone injection, you may experience withdrawal symptoms including restlessness; teary eyes; runny nose; yawning; sweating; chills; muscle, back or joint pain; widening of the pupils; irritability; anxiety; weakness; stomach cramps; difficulty falling asleep or staying asleep; nausea; loss of appetite; vomiting; diarrhea; fast breathing; or fast heartbeat. Your doctor will probably decrease your dose gradually. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
If you are using hydromorphone injection on a regular schedule, use the missed dose as soon as you remember it. Misuse of prescription drugs research report: Overview. Published June Food and Drug Administration. Updated November 10, Drug Enforcement Administration.
Drug facts: Amphetamines. Highlights of prescribing information: Dialudid. Revised December Published December Misuse of prescription drugs research report.
Benzodiazepines and opioids. Updated February 3, Hydrocodone combination products. Revised January 15, Drugs of abuse: A DEA resource guide. Highlights of prescribing information: OxyContin. Rise in prescription drug misuse and abuse impacting teens. Updated December 17, Misuse of prescription drugs research report: How can prescription drug misuse be prevented? Commonly used drugs charts. Updated August 20, Commonly abused drugs.
Updated November Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.
These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification.
I Accept Show Purposes. Table of Contents View All. Table of Contents. Commonly Misused Pills. What to Look For. Pill Identification.
Signs of Drug Abuse. What to Do Next. Commonly Misused Prescription Drugs. Signs of Adderall Overdose. Can Ritalin Really Lead to Addiction?
0コメント