Dilaudid and other versions of hydromorphone are stronger drugs than oxycodone. These drugs are often used for serious pain caused by surgery,,. Has a three-step ladder for treating cancer pain. The first step is non-opioid analgesic medications. These drugs are available without a prescription, and include,, and (Tylenol).
When people don’t get enough relief from over-the-counter medications, the second step is mild opioids, like. The third step is potent opioids such as oxycodone and hydromorphone. WHO also recommends scheduled dosing, instead of giving the drugs only as needed, for serious pain. Dosing Oxycodone dosing depends on the needs of the patient, as well as whether the drug is in liquid form or as a tablet designed for immediate or extended release.
The dose of hydromorphone also depends on its form, too. The immediate-release forms are usually dosed every four to six hours.
The strength of oxycodone or hydromorphone can be gradually increased if a person develops a tolerance for the drugs or if the severity of pain increases. The dose will depend on the cause of your pain and will be determined by your doctor. If you take one of these drugs for a long time and your dose goes up, your doctor may change your prescription to the extended-release form. The most common side effects of oxycodone and hydromorphone are similar. Hydromorphone is very potent, so its side effects can be more intense.
Side effects for these drugs can include: • shallow or light breathing •, which can be severe, especially with extended-release forms • • or lowered blood pressure, when standing up • • • • • lethargy • • • • • impairment of motor skills Severe, though less common, side effects include: • Respiratory depression. The risk is higher in older adults, people with serious illnesses, and people who have respiratory disease. • Feeling like you might pass out or lowered blood pressure. This risk is greater in people who have reduced blood volume or who are in shock. • Hypersensitivity reaction.
This could include itching,, trouble breathing, or swelling of the tongue or throat. Other severe symptoms include: • • • nervousness • uncontrolled muscle movements •, leading to possible heart failure • • • Get immediate help or call 911 if you experience any of these symptoms. Less common side effects of hydromorphone include: • heart palpitations • respiratory complications • skin rashes As mentioned, the extended-release forms of these drugs can cause severe constipation, which can be dangerous. This is especially true for hydromorphone. This is one reason why extended-release forms are reserved for people who have taken the drug long term, and who need an increased dose.
Don’t drive if you’re taking oxycodone or hydromorphone. Both drugs affect your ability to drive or use machinery. They also affect your judgement and physical skills. If you take either drug for several weeks or months, there’s a major risk of becoming dependent. Long-term use means your body can adjust to the drug.
If you suddenly stop taking it, you may experience withdrawal symptoms. Talk to your doctor before you stop taking either medication. Your doctor can help you taper off the medication slowly, which reduces the risk of. Both of these drugs can also lead to overdose and are very dangerous for children. Keep your medication locked and away from any children in your household. Because hydromorphone is so potent, it could be fatal if a child takes just one extended-release tablet.