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Topic: Hydromorphone



  
 Hydromorphone - Wikipedia, the free encyclopedia
Hydromorphone is a drug used to relieve moderate to severe pain.
When injected, particularily intravenously, hydromorphone produces more intense contraction sensation in the muscles and a more powerful 'rush' than other opioids, even more so than heroin (diacetylmorphine).
"Pharmacokinetics and bioavailability of hydromorphone following intravenous and oral administration to human subjects." Journal of Clinical Pharmacology.
http://en.wikipedia.org/wiki/Hydromorphone   (434 words)

  
 Hydromorphone (Trade names: Dilaudid, Palladone™)
Hydromorphone is indicated for the relief of moderate to severe pain in patients where an opioid analgesic is appropriate.
Pure opioid antagonists such as naloxone or nalmefene are specific antidotes against respiratory depression from hydromorphone overdose.
The prescriptions for hydromorphone products have increased by 106 percent, from about 470,000 in 1998 to 970,000 in 2003.
http://www.deadiversion.usdoj.gov/drugs_concern/hydromorphone.htm   (739 words)

  
 hydromorphone Drug Information
Hydromorphone is habit forming and should only be used under close supervision by those with an alcohol or drug addiction.
An extended-release form of hydromorphone should not be the first narcotic pain medication that has been prescribed to you and should not be used if you will only need pain medicine for a short time or will only be using it occasionally (as needed).
http://www.drugs.com/MTM/hydromorphone.html   (1584 words)

  
 Hydromorphone Liquid - Drugs & Vitamins - Drug Library - DrugDigest
Hydromorphone may also be used to treat pain associated with cancer, heart attacks, sickle cell disease and other medical conditions.
Hydromorphone may be used to control pain following surgery, child birth, and other procedures.
If you have pain, you have a medical reason to take pain medicine such as hydromorphone to control your pain.
http://drugdigest.org/DD/DVH/Uses/0,3915,7465Hydromorphone+Liquid,00.html   (877 words)

  
 ACS :: Cancer Drug Guide: hydromorphone
Hydromorphone relieves moderate to severe pain and is similar to morphine.
Acetaminophen or aspirin may be combined with hydromorphone to increase the pain relief action.
You should be on a bowel regimen to prevent constipation while you are taking opioid pain relievers.
http://www.cancer.org/docroot/CDG/content/CDG_hydromorphone.asp   (723 words)

  
 [No title]
The use of opioids for moderate to severe acute pain and in patients with cancer pain now stands as unchallenged standard practice, while the use of opioids for selected patients with chronic non-malignant pain is gaining acceptance.
The short elimination half-life of hydromorphone, combined with the rapid absorption phase of the preferred embodiments, permits prompt attainment of steady-state, a stable therapeutic profile, and an early assessment of the patient's pain status.
While the early interest in long-term analgesia arose from the worldwide problem of inadequate pain control among cancer patients, many researchers now recognize a substantial population of patients with non-malignant pain who do not receive satisfactory relief.
http://www.wipo.int/cgi-pct/guest/getbykey5?KEY=00/18378.010719&ELEMENT_SET=DECL   (12054 words)

  
 ASA: Hydromorphone Analgesia Shorter Than That of Morphine but Side Effects Similar
Patient-controlled analgesia (PCA) with hydromorphone was started postoperatively in all patients with the onset of pain.
According to Dr. Chiarella, patients who are intolerant to morphine might benefit from taking hydromorphone instead, although the two drugs are structurally related, he pointed out.
Duration of effective spinal analgesia was longer with morphine in the hip group: 527 minutes versus 421 minutes (p=0.035) and approached significance in the knee group 453 minutes versus 385 minutes (p=0.059).
http://www.docguide.com/dg.nsf/PrintPrint/FA71EFE6BBE78C1385256C550069D743   (564 words)

  
 The Health Report: 28 January  2002  - Hydromorphone Trials
Hydromorphone is an injectable opioid that has similar effects to heroin.
I think the conditions under which Hydromorphone would be prescribed in the type of trial we had in mind would be the same as in Switzerland, that is the drug would only be administered on site under medical supervision; there'd be no take-away doses.
Australian researchers have proposed to trial hydromorphone for heroin addicts.
http://www.abc.net.au/rn/talks/8.30/helthrpt/stories/s469267.htm   (1274 words)

  
 Hydromorphone - Patient UK
Hydromorphone is used to treat severe pain and is particularly useful for treating pain associated with cancer.
Never give it to others even if their condition appears to be the same as yours.
Before taking any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take alongside hydromorphone.
http://www.patient.co.uk/showdoc/30003682   (690 words)

  
 Hydromorphone Hydrochloride, extended release capsules, 12 mg, 16 mg , 24 mg, and 32 mg, Palladone® XL, July 2005
The use of controlled-release oxycodone for the treatment of chronic pain: a randomised, double-blind study.
Hydromorphone CR offers another once daily pain management option for patients suffering chronic cancer and non-cancer related pain.
The PBAC requested the National Prescribing Service educate prescribers that it was critical for patients to be appropriately commenced on treatment with controlled release hydromorphone.
http://www.health.gov.au/internet/wcms/publishing.nsf/Content/pbac-psd-hydromorphone   (1320 words)

  
 Nursing Spectrum- Career Fitness Online
Hydromorphone hydrochloride was approved in late 2004 for moderate to severe chronic pain experienced by opioid-tolerant individuals.
Nurses should expect to closely observe patients who are switching from hydromorphone hydrochloride therapy to another pain reliever.
Patient teaching should include information on new pain relief medications and a warning not to abruptly discontinue hydromorphone hydrochloride without first consulting the prescribing health care provider.
http://nsweb.nursingspectrum.com/NurseNewsEzine/DrugNews/item.cfm?ID=176   (338 words)

  
 Hydromorphone
The feeling of pain and a person's response to pain are also decreased.
If you have an allergy to hydromorphone or any other part of the medicine.
http://www.umm.edu/altmed/ConsDrugs/Hydromorphonecd.html   (550 words)

  
 ASA: Hydromorphone Better than Fentanyl for Bupivacaine Epidural for Spine Surgery
ORLANDO, FL -- October 16, 2002 -- Epidural hydromorphone 20mg/ml plus bupivacaine 0.01 percent is associated with less postoperative pain and reduced need for rescue analgesics in patients undergoing spine surgery, compared with epidural fentanyl 4mg/ml plus bupivacaine 0.01 percent.
"Hydromorphone plus bupivacaine is clearly the preferred analgesic regimen after spine surgery," Dr. Subramaniam concluded.
To compare the efficacy of the postoperative analgesics, Dr. Subramaniam randomized 101 patients having lumbar spine surgery into one of two treatment groups: fentanyl 4 µg/mL plus bupivacaine 0.01 percent (n=39), or hydromorphone 20 µg/mL plus bupivacaine -0.01 percent (n=62).
http://www.pslgroup.com/dg/2206a2.htm   (393 words)

  
 Effective treatment of elderly patients with severe pain using sustained release hydromorphone
A large-scale, multi-centre trial of 2,650 elderly patients with severe and very severe pain of varying aetiologies was designed to assess the efficacy of treatment with SR hydromorphone.
Investigators demonstrated a positive efficacy for the use of sustained-release (SR) hydromorphone in elderly patients with severe pain.
The average age of patients enrolled onto the study was between 60-79 years.
http://www.medicalnewstoday.com/medicalnews.php?newsid=29573&nfid=rssfeeds   (358 words)

  
 Assessment of Opioid Partial Agonist Activity with a Three-Choice Hydromorphone Dose-Discrimination Procedure -- Jones ...
or to 1 mg of hydromorphone were itchy skin and relaxed.
In the previous studies, hydromorphone, a full µ agonist, has been used as a training drug.
Preston KL and Bigelow GE (1994) Drug discrimination assessment of agonist-antagonist opioids in humans: A three-choice saline-hydromorphone-butorphanol procedure.
http://jpet.aspetjournals.org/cgi/content/full/289/3/1350   (6252 words)

  
 MedlinePlus Drug Information: Hydromorphone Hydrochloride Injection
Your health care provider may tell you to stop your infusion if you have a mechanical problem (such as a blockage in the tubing, needle, or catheter); if you have to stop an infusion, call your health care provider immediately so your therapy can continue.
The drug will be either injected into a large muscle (such as your buttock or hip) or added to an intravenous fluid that will drip through a needle or catheter placed in your vein or under your skin.
If you are receiving hydromorphone intramuscularly (in your muscle), your health care provider will tell you how to store it properly.
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a601148.html   (799 words)

  
 Effects of Agonist-Antagonist Opioids in Humans Trained in a Hydromorphone/Not Hydromorphone Discrimination -- Preston ...
hydromorphone was identified to the subject as Drug A and saline
In a previous two-choice study in which subjects were explicitly trained with hydromorphone as Drug A and saline as Drug B
Each point is the mean ± 1 S.E. based on one administration of each drug condition in each subject (number depends on study: top panel, five subjects; middle panel, hydromorphone and pentazocine six subjects, butorphanol and nalbuphine five subjects; buprenorphine four subjects; bottom panel, six subjects).
http://jpet.aspetjournals.org/cgi/content/full/295/1/114   (6023 words)

  
 The addition of hydromorphone to epidural fentanyl does not affect analgesia in early labour: [L'addition ...
The addition of hydromorphone to epidural fentanyl does not affect analgesia in early labour
Epidural patient-controlled analgesia: influence of bupivacaine and hydromorphone basal infusion on pain control after cesarean delivery.
Epidural patient-controlled analgesia: an alternative to intravenous patient- controlled analgesia for pain relief after cesarean delivery.
http://www.cja-jca.org/cgi/content/full/49/6/600   (2450 words)

  
 Palladone (Hydromorphone Hydrochloride Extended-Release) Capsules: Questions and Answers
The active ingredient, hydromorphone, has been available for pain relief for many years in other marketed drug products.
Palladone contains the opioid (narcotic) pain medicine hydromorphone.
Do other pain medicines also interact with alcohol?
http://www.fda.gov/cder/drug/infopage/palladone/palladoneQA.htm   (823 words)

  
 DEA Briefs & Background, Drugs and Drug Abuse, Drug Descriptions, Hydromorphone
Much sought after by narcotic addicts, hydromorphone is usually obtained by the abuser through fraudulent prescriptions or theft.
DEA Briefs and Background, Drugs and Drug Abuse, Drug Descriptions, Hydromorphone
The tablets are often dissolved and injected as a substitute for heroin.
http://www.usdoj.gov/dea/concern/hydromorphone.html   (91 words)

  
 [No title]
There is no intrinsic limit to the analgesic effect of hydromorphone ; like morphine, even the most severe pain can be relieved given a sufficient amount of hydromorphone.
These chromatograms could be re- integrated if necessary.
Hydromorphone is also a centrally acting narcotic anti-tussive, which acts directly on the cough reflex center.
http://www.wipo.int/cgi-pct/guest/getbykey5?KEY=05/16930.050224&ELEMENT_SET=DECL   (5220 words)

  
 Hydromorphone Hydrochloride
Opioids such as hydromorphone relieve pain by acting on specific areas of the spinal cord and brain that process pain signals from nerves throughout the body.
This drug may be used by young patients.
You should take it as prescribed for the full treatment period, but you may stop taking the drug if you are feeling better before the scheduled end of therapy.
http://www.wholehealthmd.com/refshelf/drugs_view/1,1524,303,00.html   (525 words)

  
 FDA Approves Palladone(TM) (hydromorphone HCl extended-release) Capsules (CII) for the Management of Persistent, ...
The painful conditions may arise from either cancer or non-cancer conditions.
Terms and conditions, including restrictions on redistribution, apply.
When prescribing any opioid medication, patients should be assessed for their clinical risks for opioid abuse or addiction and should be closely monitored for signs of misuse, abuse, and addiction throughout the course of therapy.
http://www.prnewswire.com/cgi-bin/stories.pl?ACCT=109&STORY=/www/story/09-27-2004/0002259496&EDATE   (1076 words)

  
 Dilaudid® Addiction Treatment
, or Hydromorphone, is a narcotic analgesic prescribed for the relief of moderate to severe pain, such as burns, cancer, Kidney stones or surgery.
Use of narcotic analgesics over time can result in addiction and physical dependence.
http://www.recoveryfirst.net/dilaudid.htm   (62 words)

  
 Hydromorphone Drug Information
Adults-Long-acting forms of hydromorphone are usually used for patients who have already been receiving narcotics to relieve pain.
Buprenorphine and codeine did not cause birth defects in animal studies, but they caused other unwanted effects.
Also, unusual excitement or restlessness may be more likely to occur in children receiving these medicines.
http://www.drugs.com/cons/Hydromorphone.html   (4780 words)

  
 Opiate Agonists
Meperidine hydrochloride for injection is indicated for the relief of moderate to severe pain, as preoperative medication, for the support of anesthesia, and for obstetrical anesthesia.
Hydromorphone hydrochloride injection is used to relieve moderate to severe pain and as an adjunct in general anesthesia.
Because analgesia equivalency varies among individual patients and specific clinical situations, dosage adjustments will be required.
http://www.ashp.org/shortage/drug.cfm?cfid=9574150&CFToken=55039820&id=1065   (2058 words)

  
 letter to editor - Lack of Hydrocodone and Hydromorphone Interference ...
We first developed our method for the extraction of a wide range of drugs from urine for GC–MS analysis in a clinical setting (5), which requires that all of the drugs in a sample be identified, not just the drugs of abuse.
The fact that hydrocodone and hydromorphone both chromatographed as single peaks, well away from codeine and morphine retention times, indicates that tautomerization, which would result in the appearance of additional peaks, did not occur with either drug under the mild derivatization conditions of this method.
We did not report its ability to identify the various opiates because, at the time, we were unaware that hydromorphone and hydrocodone interference was a problem.
http://www.jatox.com/abstracts/1996/jul-aug/269-smith.htm   (634 words)

  
 Erowid Hydromorphone (Dilaudid, Palladone) Vault
Join Erowid and help change the way the world thinks about Psychoactives.
Hydromorphone is an opiate, narcotic analgesic, used primarily in the treatment of moderate to severe pain.
This may cause the full 24-hour dose, a potentially deadly amount, to be released all at one time.
http://www.erowid.org/pharms/hydromorphone/hydromorphone.shtml   (150 words)

  
 Dilaudid, Hydromorphone hydrochloride, side effects, drug interactions, overdose, dosage
Dilaudid, a narcotic analgesic, is prescribed for the relief of moderate to severe pain such as that due to:
Dilaudid, Hydromorphone hydrochloride, side effects, drug interactions, overdose, dosage
If you suspect an overdose, seek emergency medical treatment immediately.
http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/dil1137.shtml   (1033 words)

  
 HYDROMORPHONE (Injection)
You should not use hydromorphone if you have lung or breathing problems, or if you have an injury or wound inside your skull.
There may be other brand names for this medicine.
You should not use this medicine if you have ever had an allergic reaction to hydromorphone or to related narcotic pain-killers.
http://www.medformation.com/ac/mm_qd.nsf/qd/dnx0666.htm   (513 words)

  
 hydromorphone - definition of hydromorphone by the Free Online Dictionary, Thesaurus and Encyclopedia.
hydromorphone - a narcotic analgesic (trade name Dilaudid) used to treat moderate to severe pain
This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional.
hydromorphone - definition of hydromorphone by the Free Online Dictionary, Thesaurus and Encyclopedia.
http://www.thefreedictionary.com/hydromorphone   (107 words)

  
 Cancerquest: Hydromorphone
Alcohol can intensify some of the mental and emotional side effects of hydromorphone, such as drowsiness and changes in mood.
This may result in a potentially dangerous slowing of a patient's breathing rate.
With prolonged use, tolerance may also become a problem, requiring higher dosages to achieve pain relief.
http://www.cancerquest.org/printfriendly.cfm?printpage=1332   (110 words)

  
 An Omnipresent Risk of Morphine-Hydromorphone Mix-ups
The error may have contributed to the patient's death.
If both drugs are available in patient care units, avoid stocking morphine and hydromorphone in the same strength.
By then, the patient's condition had deteriorated, and he arrested a short time later.
http://www.ismp.org/MSAarticles/morphine.htm   (729 words)

  
 Erowid Hydromorphone Vault : Drug Tests
Hydromorphone does not show up in the basic opiate test which is part of the standard pre-employment drug test.
As with most substances, hydromorphone is possible to test for, but this is extremely uncommon.
Hydromorphone does not break down into morphine, therefore it is not detected.
http://www.erowid.org/pharms/hydromorphone/hydromorphone_testing.shtml   (109 words)

  
 HYDROMORPHONE EXTENDED RELEASE - ORAL (Palladone) side effects, medical uses, and drug interactions.
HYDROMORPHONE EXTENDED RELEASE - ORAL (Palladone) side effects, medical uses, and drug interactions.
MedicineNet Home > Medications A-Z List > hydromorphone_extended_release-oral
Please consult your healthcare provider before beginning any course of supplementation or treatment.
http://www.medicinenet.com/script/main/forum.asp?articlekey=44288&articletype=hf   (123 words)

  
 Hydromorphone
It is prescribed both as an antitussive and analgesic.
Hydromorphone is a semisynthetic narcotic and analgesic that is available in a variety of forms for oral, parenteral and rectal administration typically in doses of 1 — 4 mg as the hydrochloride.
About 6% of a dose is excreted as free and 30% as conjugated hydromorphone in a 24 hour.
http://www.sdrl.com/druglist/hydromorphone.html   (221 words)

  
 Dilaudid Online, Description, Chemistry, Ingredients - Hydromorphone - RxList Monographs
DILAUDID (hydromorphone hydrochloride) (WARNING: May be habit forming), a hydrogenated ketone of morphine, is a narcotic analgesic.
Non- Sterile Powder (for prescription compounding) containing hydromorphone hydrochloride.
3 mg hydromorphone hydrochloride in a cocoa butter base with silicon dioxide.
http://www.rxlist.com/cgi/generic/hydromorphone.htm   (209 words)

  
 Pharmacokinetics and Bioavailability of Single-Dose Intranasal Hydromorphone Hydrochloride in Healthy Volunteers -- ...
A Multiple-Dose Phase I Study of Intranasal Hydromorphone Hydrochloride in Healthy Volunteers
support further development of this novel hydromorphone hydrochloride
Pharmacokinetics and Bioavailability of Single-Dose Intranasal Hydromorphone Hydrochloride in Healthy Volunteers -- Coda et al.
http://www.anesthesia-analgesia.org/cgi/content/abstract/97/1/117   (277 words)

  
 hydromorphone - OneLook Dictionary Search
hydromorphone : The On-line Medical Dictionary [home, info]
hydromorphone : Dictionary of Cancer Terms [home, info]
hydromorphone : Breast Cancer Talking Dictionary [home, info]
http://www.onelook.com/?w=hydromorphone&ls=a   (114 words)

  
 A Hydromorphone and Ethanol Fatality
A case report is presented of a fatality where death is attributed to the combined central nervous system-depressing effects of ethanol and hydromorphone.
Blood and tissue levels of hydromorphone are reported and the concentrations are compared to previously reported data.
alcohol, forensic science, hydromorphone, pathology and biology, toxicology
http://www.astm.org/JOURNALS/FORENSIC/PAGES/477.htm   (153 words)

  
 (WO 00/18378) SUSTAINED RELEASE HYDROMORPHONE FORMULATIONS EXHIBITING BIMODAL CHARACTERISTICS [Repub: 19.07.2001]
(57) The invention is related to a biphasic solid sustained release once-a-day oral dosage form comprising hydromorphone or a pharmaceutically acceptable salt thereof together with a sustained release carrier, and to the use thereof in the treatment of human patients.
The dosage provides a rise in plasma concentration to an initial early peak concentration, followed by a second peak with plateau plasma concentrations.
(WO 00/18378) SUSTAINED RELEASE HYDROMORPHONE FORMULATIONS EXHIBITING BIMODAL CHARACTERISTICS [Repub: 19.07.2001]
http://wipo.int/cgi-pct/guest/getbykey5?KEY=00/18378.010719&ELEMENT_SET=DECL   (204 words)

  
 (WO 2005/016930) METHODS FOR DETECTING MORPHINONE
(57) Disclosed is a method of detecting the presence of morphinone in a hydromorphone preparation.
http://wipo.int/cgi-pct/guest/getbykey5?KEY=05/16930.050224&ELEMENT_SET=DECL   (105 words)

  
 Procedure Hydromorphone
To request Hydromorphone, order a comprehensive drug screen, urine.
Hydromorphone is a member of the following panels :
http://health.ucsd.edu/labref/P68.html   (27 words)

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