Re: does kadian work better than hydromorphone?
Hydromorphone (Dilaudid) is quite a bit stronger than Morphine (Kadian). Many times someone will take Kadian as there LA med and have dilaudid as a BT med. However, Dilaudid in pill form does not seem to work even close to what the injectable form in the hospital does.
Kadian probably has one of the best delivery systems for Morphine out, in my opinion. Its very smooth without the ups and downs. Dilaudid is going to be a SA med if you live in the US. We did have Palladone for a short time which was LA hydromorphone. However, it was pulled from the market rather quickly.
One thing to remember though, everyone reacts differently to meds. For me, dilaudid works best for me after surgery in the hospital. But not in pill form.