Dilaudid (hydromorphone) is an opioid pain medication. An opioid is sometimes called a narcotic.
Dilaudid is used to treat moderate to severe pain.
Dilaudid may also be used for purposes not listed in this medication guide.
You should not take Dilaudid if you have severe breathing problems, or a blockage in your stomach or intestines.
Dilaudid can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use Dilaudid in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose.
Dilaudid may be habit-forming, even at regular doses. Take this medicine exactly as prescribed by your doctor. Never share the medicine with another person. MISUSE OF NARCOTIC PAIN MEDICATION CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription.
Tell your doctor if you are pregnant. Dilaudid may cause life-threatening addiction and withdrawal symptoms in a newborn if the mother has taken this medicine during pregnancy.
Do not drink alcohol. Dangerous side effects or death could occur when alcohol is combined with hydromorphone.
Before using Dilaudid
You should not take Dilaudid if you have ever had an allergic reaction to hydromorphone or other narcotic medicines, or if you have:
- breathing problems, sleep apnea;
- a blockage in your stomach or intestines; or
- a bowel obstruction called paralytic ileus.
Do not use Dilaudid if you have used a MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
Some medicines can interact with hydromorphone and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications.
You may not be able to take Dilaudid if you are NOT already being treated with a similar opioid (narcotic) pain medicine and are tolerant to it. Talk with your doctor if you are not sure you are opioid-tolerant.
Dilaudid may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.
Side effects requiring immediate medical attention
Along with its needed effects, hydromorphone (the active ingredient contained in Dilaudid) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking hydromorphone:
- bloating or swelling of the face, arms, hands, lower legs, or feet
- bloody, black, or tarry stools
- blurred vision
- changes in behavior
- chest pain or discomfort
- decreased urination
- dry mouth
- fast, pounding, slow, or irregular heartbeat
- lightheadedness, dizziness, or fainting
- mood or mental changes
- rapid breathing
- severe stomach pain, cramping, or burning
- stiff neck
- sunken eyes
- thoughts of killing oneself
- trouble breathing
- unusual tiredness
- vomiting of material that looks like coffee grounds, severe and continuing
- wrinkled skin
Incidence not known
- Bluish lips or skin
- change in the ability to see colors, especially blue or yellow
- cold, clammy skin
- constricted, pinpoint, or small pupils (black part of the eye)
- decrease in frequency of urination or urine amount
- deep or fast breathing with dizziness
- difficulty in passing urine (dribbling)
- fast or weak pulse
- hives or welts, itching, skin rash
- irregular, fast or slow, or shallow breathing
- loss of appetite
- noisy breathing
- overactive reflexes
- painful urination
- pale or blue lips, fingernails, or skin
- poor coordination
- talking or acting with excitement you cannot control
- tightness in the chest
- trouble sleeping