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Dilaudid (Hydromorphone Hydrochloride) is an opioid pain medication, sometimes called a narcotic. It is used to treat moderate to severe pain.

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Buy Palladone 32 mg Hydromorphone HCl Extended-Release 60 Capsules  Online

Palladone 32 mg Hydromorphone HCl extended-release is a a mu-opioid used to manage pain in opioid-tolerant patients severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. Common side effects of Palladone include:

Dose of Palladone 32 mg Hydromorphone HCl is individualized for each patient, taking into account the patient’s prior analgesic treatment experience and risk factors for addiction, abuse, and misuse. Palladone may interact with alcohol, sedatives, hypnotics, tranquilizers, general anesthetics, phenothiazines, other opioids, pentazocine, nalbuphine, butorphanol, buprenorphine, monoamine oxidase inhibitors (MAOIs), and anticholinergics. Tell your doctor all medications and supplements you use. Palladone is not recommended for use during pregnancy. It may harm a fetus. If used during pregnancy it can cause withdrawal symptomsin a newborn. This drug passes into breast milk and may harm a nursing baby. Breastfeeding is not recommended while taking Palladone. Withdrawal symptoms may occur if you suddenly stop taking this medication.

Our Palladone 32 mg hydromorphone HCl extended-release Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

What is Dilaudid (Hydromorphone Hydrochloride)?

Dilaudid (Hydromorphone Hydrochloride) is an opioid pain medication, sometimes called a narcotic. It is used to treat moderate to severe pain.

The extended-release form of this medicine is for around-the-clock treatment of moderate to severe pain. This form of hydromorphone is not for use on an as-needed basis for pain.

WHAT TO DISCUSS WITH MY HEALTHCARE PROVIDER BEFORE USING HYDROMORPHONE?

You should not take this medicine if you have ever had an allergic reaction to hydromorphone or other narcotic medicines, or if you have:

severe asthma or breathing problems;
a blockage in your stomach or intestines; or a bowel obstruction called paralytic ileus.
Do not use hydromorphone if you have used an 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 stimulant medicine, herbal products, or 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.

To make sure hydromorphone is safe for you, tell your doctor if you have ever had:

any type of breathing problem or lung disease;
a injury, brain tumor, or seizures;
drug or alcohol addiction, or mental illness;
urination problems;
liver or kidney disease;
sulfite allergy;
problems with your gallbladder, pancreas, or thyroid; or
Addison’s disease or other adrenal gland disorder.
If you use hydromorphone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.

Do not breast-feed. Hydromorphone can pass into breast milk and may cause drowsiness or breathing problems in a nursing baby.

HOW SHOULD I USE Dilaudid (Hydromorphone Hydrochloride)?

Follow all directions on your prescription label. Hydromorphone can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use hydromorphone in larger amounts, or for longer than prescribed.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF Dilaudid (Hydromorphone Hydrochloride)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Like other narcotic medicines, hydromorphone can slow your breathing. Death may occur if breathing becomes too weak. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, pinpoint pupils, or if you are hard to wake up.

Call your doctor at once if you have:

noisy breathing, sighing, shallow breathing;
a slow heart rate or weak pulse;
confusion, feelings of extreme happiness or sadness;
severe weakness or drowsiness;
a light-headed feeling, like you might pass out;
low cortisol levels–nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Serious side effects may be more likely in older adults and those who are malnourished or debilitated.

Long-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.

Common side effects may include:

constipation, nausea, vomiting, stomach pain;
dizziness, drowsiness;
headache, tired feeling;
feelings of extreme happiness or sadness;
sweating, mild itching;
dry mouth; or
flushing (warmth, redness, or tingly feeling).

WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT HYDROMORPHONE?

You should not take hydromorphone if you have severe breathing problems, or a blockage in your stomach or intestines.

Hydromorphone can slow or stop your breathing, and may be habit-forming. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription.

Taking this medicine during pregnancy may cause life-threatening withdrawal symptoms in the newborn.

Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.

HOW SHOULD I USE Dilaudid (Hydromorphone Hydrochloride)?

Follow all directions on your prescription label. Hydromorphone can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use hydromorphone in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Hydromorphone may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Selling or giving away hydromorphone is against the law.

Do not crush, break, or open an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose.

Stop taking all other around-the-clock narcotic pain medications when you start taking hydromorphone.

Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not stop using hydromorphone suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using hydromorphone.

Never crush or break a hydromorphone pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This can cause in death.

Store at room temperature away from moisture, heat, and light. Throw away any unused liquid after 90 days.

Keep track of your medicine. Hydromorphone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.

WHAT HAPPENS IF I MISS A DOSE?

Since hydromorphone is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

WHAT HAPPENS IF I OVERDOSE?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A hydromorphone overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include slow heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, very slow breathing, or coma.

WHAT SHOULD I AVOID WHILE USING HYDROMORPHONE?

Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or operating machinery until you know how hydromorphone will affect you. Dizziness or severe drowsiness can cause falls or other accidents.

WHAT OTHER DRUGS WILL AFFECT HYDROMORPHONE?

Narcotic (opioid) medication can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:

other narcotic medications–opioid pain medicine or prescription cough medicine;
a sedative like Valium–diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Versed, Xanax, and others; or drugs that make you sleepy or slow your breathing–a sleeping pill, muscle relaxer, tranquilizer, antidepressant, or antipsychotic medicine.
This list is not complete. Other drugs may interact with hydromorphone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

how is it supplied?

Dilaudid is available as follow: 2mg, 4mg, 8mg, 12mg, 16mg, 32mg

Over-the-Counter Pain Relievers

Over-the-counter (OTC) pain relievers include:

Both acetaminophen and NSAIDs reduce fever and relieve pain caused by muscle aches and stiffness, but only NSAIDs can also reduce inflammation (swelling and irritation). Acetaminophen and NSAIDs also work differently. NSAIDs relieve pain by reducing the production of prostaglandins, which are hormone-like substances that cause pain and inflammation. Acetaminophen works on the parts of the brain that receive the “pain messages.” NSAIDs are also available in a prescription strength that can be prescribed by your physician.

Using NSAIDs regularly, especially at high doses, increase the risk of heart attack or stroke and have also been known to cause stomach ulcers and bleeding. They can also cause kidney problems. Taking acetaminophen (tylenol) regularly at high doses can cause a liver problem, also if a large amount is taken all at once intentionally. This is an emergency.

Topical pain relievers are also available without a doctor’s prescription. These products include creams, lotions, or sprays that are applied to the skin in order to relieve pain from sore muscles and arthritis. Some examples of topical pain relievers include AspercremeBenGayapzasin,  capsaicin creamdiclofenic gel (or volteran, a topical  NSAID), and Icy Hot.

Prescription Pain Relievers

Prescription pain relievers include:

What Are Corticosteroids?

Prescription corticosteroids provide relief for inflamed areas of the body by easing swelling, redness, itching and allergic reactions. Corticosteroids can be used to treat allergies, asthma and arthritis. When used to control pain, they are generally given in the form of pills or injections that target a certain joint. Examples include: prednisoneprednisolone, and methylprednisolone.

Prescription corticosteroids are strong medicines and may have serious side effects, including:

  • Weight gain and salt retention
  • Peptic ulcer disease
  • Mood changes
  • Trouble sleeping
  • Weakened immune system
  • Thinning of the bones and skin
  • High sugar levels

To minimize these potential side effects, corticosteroids are prescribed in the lowest dose possible for as short of a length of time as needed to relieve the pain. Another way to minimize these side effects is to give the steroid by injection to target the particular problem area (joint, vertebrae); This avoids systemic absorption which is associated with the problems you mention about.

What Are Opioids?

Opioids are narcotic pain medications that contain natural, synthetic or semi-synthetic opiates. Opioids are often used for acute pain, such as short-term pain after surgery. Some examples of opioids include:

Opioids are effective for severe pain and do not cause bleeding in the stomach or other parts of the body, as can some other types of pain melievers. However, they can be extremely addictive and doctors will try to find alternatives to prescribing them. It is rare for people to become addicted to opioids if the drugs are used to treat pain for a short period of time. But if used to treat chronic pain, the risk of addiction is real and potentially dangerous.

Side effects of opioids may include:

What Are Antidepressants?

Antidepressants are drugs that can treat pain and/or emotional conditions by adjusting levels of neurotransmitters (natural chemicals) in the brain. These medications can increase the availability of the body’s signals for well-being and relaxation, enabling pain control for some people with chronic pain conditions that do not completely respond to usual treatments. Research suggests certain antidepressants (tricyclics) work best for neuropathic or nerve pain.

Chronic pain conditions treated by low-dose antidepressants include some types of headaches (like migraines) and menstrual pain. Some antidepressant medications include:

These drugs require a steady dose of the medicine buildup in the body over a period of time to work. The doses needed to treat pain are often lower than those needed to treat depression.

Generally, SSRIs and SNRIs have fewer side effects than tricyclic antidepressants. The most common side effects with antidepressants include:

What Are Anticonvulsants?

Anticonvulsants are drugs typically used to treat seizure disorders. Some of these medications are shown to be effective in treating pain as well. The exact way in which these medicines control pain is unclear but it is thought that they minimize the effects of nerves that cause pain. Some examples include carbamazepine (Tegretol), gabapentin (Neurontin), pregabalin (Lyrica), and toperamate (topamax).

In general, anticonvulsants are well tolerated. The most common side effects include:

Other Pain Treatments

Another means of topical pain relief comes in the form of a lidocaine (Lidoderm) patch, which is a prescription medication.

If your pain is not relieved by the usual treatments, your doctor may refer you to a pain management specialist. Doctors who specialize in pain management may try other treatments such as certain types of physical therapy or other kinds of medicine. They may also recommend TENS, a procedure that uses patches placed on the skin to send signals that may help stop pain.

Spinal cord stimulation (SCS) involves implanting a small device somewhat like a pacemaker in the epidural space adjacent to the area of the spine which is believed to be the source of the pain. It sends mild electric pulses through leads to help mask and interrupt the pain signals to your brain.

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