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DOSAGE AND ADMINISTRATION
Selection of patients and administration of Dilaudid and Dilaudid-HP injection should be governed by the same principles that apply to the use of similar opioid analgesics to treat patients with acute or chronic pain and depends upon a comprehensive assessment of the patient. Individualize treatment in every case, using non-opioid analgesics, opioids on an as needed basis and or combination products, and chronic opioid therapy in a progressive plan of pain management such as outlined by the World Health Organization, the Agency for Healthcare Research and Quality, and the American Pain Society.
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DILAUDID INJECTION: The usual starting dose is 1 mg to 2 mg subcutaneously or intramuscularly every 2 to 3 hours as necessary.
- DILAUDID-HP INJECTION should be used only if the amount of hydromorphone required can be delivered accurately with this formulation.
- For patients already receiving opioids, use standard conversion ratio estimates.
- The dose should be adjusted according to the severity of pain, as well as the patient’s underlying disease state and age..
- Should intravenous administration be necessary, the injection should be given slowly, over at least 2 to 3 minutes and the usual starting dose is 0.2 to 1 mg
The possible side effects of DILAUDID Tablets and DILAUDID Oral Solution:
- Constipation, nausea, sleepiness, vomiting, tiredness, headache, dizziness, abdominal pain. Call your healthcare provider if you have any of these symptoms and they are severe.
CONTRAINDICATIONS DILAUDID INJECTION and DILAUDID-HP are contraindicated in patients with known hypersensitivity to hydromorphone. DILAUDID INJECTION and DILAUDID-HP are contraindicated in patients with respiratory depression in the absence of resuscitative equipment and in patients with status asthmaticus. DILAUDID INJECTION and DILAUDID-HP are also contraindicated for use in obstetrical analgesia.