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Old 07-11-2006, 05:24 PM   #1
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Question Delaudid???

My doc gave me a new pain med today, called Delaudid. I've heard of it before, and the couple of times I've gone to the ER for my back pain I have been given a shot of this drug. It worked wonderfully, but I did not know it came in prescription pill form. Does anyone know exactly what this drug is? How much of a "step up" (for lack of a better term) is it from the norco 10/325 I have been taking? The dosage is 4mg every four hours. Any advice? Thanks all!!

---mysti---

 
Old 07-11-2006, 08:06 PM   #2
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Re: Delaudid???

Dilaudid is hydromophone. From what I understand it is about 8 times more potent per milligram than morphine. It ususally takes effect within a short amount of time and lasts for several hours. It sounds like a substantial step up from the Norco, but I'm not a professional, so maybe you could do a web search for more information.

I hope it brings you relief!! Good luck!

Lezlee

 
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Old 07-12-2006, 06:31 AM   #3
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Re: Delaudid???

Hi Mysti - Dilaudid is the drug I took for breakthrough pain for almost a year. I took 4-8mg every 6-8 hours. I found it to be a very good drug that took care of my breakthrough pain. It is a much stronger drug than the Norco-type drugs as Lezlee has already mentioned. It has been around for a very, very long time. Hope it continues to work for you. KathyMac

 
Old 07-12-2006, 06:41 AM   #4
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Re: Delaudid???

Hi Misti, Ozzy is correct about Dilaudid or generic hydromorphone, but sttrength isn't just determined by by comparison to one drug or another, the number of mgs is really the key factor. Hydrocodone is almost as strong as morphine, but not vailable in a pur e form without tylenol, so the amount you can take is limited by the recomended max dose of tylenol you can take.

There are conversion charts called equianelgesic charts, meaning equal relief converting the right number of mgs to the right number of mgs of another med. All drugs are compared to morphine in strength. Morphine is the gold standard to which others are compared. Hydrocodone converts about .8:1 meaning 8 mgs of hydro would be equal to 10 mgs of morphine. Dilaudid converts about 1:8 to morphine, meaning 1 mg of dilaudid is equal to about 8 mgs of morphine.

If your used to taking 2 10 mg norco, or 20 mgs of hydrocodone at one time, 2 mgs of dilaudid really isn't significantly stronger, but you can take more dilaudid than hydro because there isn't a ceiling created by the amount of tylenol in dilaudid because they don't use apap in it. So the dose of dilaudid and how much Hydro you were used to taking is what really makes the difference.

Drugs also act differently when delivered in different forms, a shot in muscle "IM" is about 3 times stronger than it's oral version, IV meds injected directly into a vein is 3 times stronger than recieving the drug IM or 6 times stronger than orally.

Every back surgery I have had I was given IV dilauid through an V pump, IF I had a choice I wold choose IV dilaudid for post surgery pain, But when it comes to oral meds, I never found oral dilaudid to be anywhere near as effective as an IV drip of the same med. Different drugs have different half lifes or duration and oral dilauid has a fairly short half life. OxyCodone the opiate in Percocet or OxyContin isn't as stong as dilauid when you compare it mg to mg, but it does have a longer half life and is available in higher mg strengths. I prefer oxy codone because it lasts longer and I can compensate for strength by takng more mgs. Everyone reponds to meds differently so my experience with oral dilaudid may not be the same as yours, I hactually have dilaudid in my pmplanted pump and because it's a continous flow the duration really isn't an issue. So it really comes down to how maqny mgs, how it's delivered, How many mgs of the previous drug you were taking and your individualk response.

If you find your not getting relief from your present dose, or it doesn't last 4 hours or the way it's prescribed, consult your doc before you take it upon yourself o afjjust the timing or dose you take. ecause you not used to taking strong high dose meds, an extra pill could kill you depending on the strenght. It does come in different strengths, 2,4 and 8 mg tablets. So there is quite a difference in the strength between 2mgs and 8 mgs, something 4 times stronger than what your used to taking is enough to kill most people that aren't tolerant to the drug, so never just decide to take another pill or increase any med without consulting your doc. It's the fastest way to end up being discharged with no doc and no meds if you don't kill yourself in the process of self medicating.

The goal of pain management is not to eliminate all pain, it's to make the pain tolerable. Even with an implanted pump delivering dilaudid directly to my spine, at best I get 50% relief and some days it's more like 10%. IF they increased the dose to try and obtain greater relief, it would leave me impaired with even greater side effects like constipaion, nausea, urinary retention, sweating, and if you feel shor5t of breath while taking any opiate call your doc asap. I'm not going to die anytime soon so I'm not ready to live the next 30 years as a zombie that can't walk a straight line, pee without a cath or keep their eyes open during a conversation.

I would expect greater side effects going from Norco to dilaudid like constipation and if you unable to urinate due to the new med, report that to your doc asap. Other side efects like drowsiness, vomitting and hot flashes tend to deminish with time as you become used to the new med.Another thing to be aware of, is you will become physically dependent on opiates even quicker taking stronger meds. Stoping Norco 4 weeks post op would be a breeze compared to discontinuing dilaudid after 4 weeks of continued use. That's probably the greratest price you pay for pain relief and the greatest reason to be compliant with the way your doc prescribes your meds.

Good luck , Dave

 
Old 07-15-2006, 04:57 PM   #5
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Re: Delaudid???

I have been on the iv several times while in the hospital and yes it does take the pain away very well(not sure if the iv version is different strength)

But

it gave me awful dreams. Clear vivid and scary dreams!

almost not worth it for me, but when in that much pain it wasn't an option

 
Old 07-17-2006, 06:08 AM   #6
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Re: Delaudid???

i am just kind of suprised that your doc would actually go from something milder like the hydro and skip over the oxycodone directly to something like dilaudid.that IS a big step up there like others have mentioned.

I am definitely no expert in this but (shore?) wouldn't going to dilaudid from hydro actually help to create an overall opiate tolerance much quicker than if this raise was to only something like oxy?or wouldn't this even be an issue to consider?

like I said,it just seems that going to oxy before going way up to dilaudid would have made more sense.unless you cannot actually take oxy for some reason.it would just seem like your PM kind of just skipped over a bunch of good oxy options before just going directly to the dilaudid,thats all.you just never know what any individual PM is going to do next ya know?

it IS a great med tho and should work well for your pain,but like shore mentioned the comparrison between oral vs the IV stuff,well the oral really doesn't seem to work quite as well,thats from just my own experience with the two too.

I hope this works out well for you.marcia
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Old 07-10-2009, 06:18 PM   #7
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Re: Delaudid???

Quote:
Originally Posted by Shoreline View Post
Hi Misti, Ozzy is correct about Dilaudid or generic hydromorphone, but sttrength isn't just determined by by comparison to one drug or another, the number of mgs is really the key factor. Hydrocodone is almost as strong as morphine, but not vailable in a pur e form without tylenol, so the amount you can take is limited by the recomended max dose of tylenol you can take.

There are conversion charts called equianelgesic charts, meaning equal relief converting the right number of mgs to the right number of mgs of another med. All drugs are compared to morphine in strength. Morphine is the gold standard to which others are compared. Hydrocodone converts about .8:1 meaning 8 mgs of hydro would be equal to 10 mgs of morphine. Dilaudid converts about 1:8 to morphine, meaning 1 mg of dilaudid is equal to about 8 mgs of morphine.

If your used to taking 2 10 mg norco, or 20 mgs of hydrocodone at one time, 2 mgs of dilaudid really isn't significantly stronger, but you can take more dilaudid than hydro because there isn't a ceiling created by the amount of tylenol in dilaudid because they don't use apap in it. So the dose of dilaudid and how much Hydro you were used to taking is what really makes the difference.

Drugs also act differently when delivered in different forms, a shot in muscle "IM" is about 3 times stronger than it's oral version, IV meds injected directly into a vein is 3 times stronger than recieving the drug IM or 6 times stronger than orally.

Every back surgery I have had I was given IV dilauid through an V pump, IF I had a choice I wold choose IV dilaudid for post surgery pain, But when it comes to oral meds, I never found oral dilaudid to be anywhere near as effective as an IV drip of the same med. Different drugs have different half lifes or duration and oral dilauid has a fairly short half life. OxyCodone the opiate in Percocet or OxyContin isn't as stong as dilauid when you compare it mg to mg, but it does have a longer half life and is available in higher mg strengths. I prefer oxy codone because it lasts longer and I can compensate for strength by takng more mgs. Everyone reponds to meds differently so my experience with oral dilaudid may not be the same as yours, I hactually have dilaudid in my pmplanted pump and because it's a continous flow the duration really isn't an issue. So it really comes down to how maqny mgs, how it's delivered, How many mgs of the previous drug you were taking and your individualk response.

If you find your not getting relief from your present dose, or it doesn't last 4 hours or the way it's prescribed, consult your doc before you take it upon yourself o afjjust the timing or dose you take. ecause you not used to taking strong high dose meds, an extra pill could kill you depending on the strenght. It does come in different strengths, 2,4 and 8 mg tablets. So there is quite a difference in the strength between 2mgs and 8 mgs, something 4 times stronger than what your used to taking is enough to kill most people that aren't tolerant to the drug, so never just decide to take another pill or increase any med without consulting your doc. It's the fastest way to end up being discharged with no doc and no meds if you don't kill yourself in the process of self medicating.

The goal of pain management is not to eliminate all pain, it's to make the pain tolerable. Even with an implanted pump delivering dilaudid directly to my spine, at best I get 50% relief and some days it's more like 10%. IF they increased the dose to try and obtain greater relief, it would leave me impaired with even greater side effects like constipaion, nausea, urinary retention, sweating, and if you feel shor5t of breath while taking any opiate call your doc asap. I'm not going to die anytime soon so I'm not ready to live the next 30 years as a zombie that can't walk a straight line, pee without a cath or keep their eyes open during a conversation.

I would expect greater side effects going from Norco to dilaudid like constipation and if you unable to urinate due to the new med, report that to your doc asap. Other side efects like drowsiness, vomitting and hot flashes tend to deminish with time as you become used to the new med.Another thing to be aware of, is you will become physically dependent on opiates even quicker taking stronger meds. Stoping Norco 4 weeks post op would be a breeze compared to discontinuing dilaudid after 4 weeks of continued use. That's probably the greratest price you pay for pain relief and the greatest reason to be compliant with the way your doc prescribes your meds.

Good luck , Dave

 
Old 07-10-2009, 06:28 PM   #8
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Re: Delaudid???

Dave,
I know its been a long time since you posted your reply to someone about their pain medication - but in your response you mentioned that the goal of pain med is not to eliminate pain but to make it tolerable. As a person who had severe chronic pain since 1989 I have to disagree. I have found many doctors who say what you did - but I finally found one who felt that I had the right to be pain free if he could make it happen. After many years of various pain meds, my doctor finally put me on methadone. Methadone eliminates my pain. It does not cause a high like many opiates can cause. As long as I take the methadone regularly, I am PAIN FREE most of the time. I occasionally have some breakthrough pain, but my life is soooooooooo much better now. I have been taking it now for 11 years. I will take it forever if they let me - but the goal is to get me off of it at some point. I just don't see that happening. I have been able to reduce my dose somewhat with the addition of Lyrica - which is another generation of what used to be called neurontin.
Anyway, I think you should look into getting Methadone. It will help your pain to a much greater degree that you described you are currently recieving with the meds you were taking.
Good Luck.
Jessica Jade

 
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