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Dilaudid (hydromorphone) is an opioid medication for pain. It is a hydrogenated ketone of morphine contains dihydromorphine, and helps treat moderate to severe pain.

Dilaudid helps relieve moderate to severe pain. You may orally use it or by injection into a vein, muscle, or under the skin. Its effects generally begin within half an hour and last for up to five hours. Long-term use is under the recommendation only in cancer, where the pain is deep and long.

Most people who buy a prescription drug tend to take it more than prescribed, mostly by injecting the drug into their bloodstream, mainly to get high. In such a case, the drug may cause a strong euphoria.

Some people who tend to abuse the drug take it by mixing it with other opiates like heroin. However, the signs of drug use or abuse depend on the person who is indulging in the intake or the quantity of the drug he has taken so far. Therefore, the signs of drug use or abuse in the case of Dilaudid are:-
Dizziness
Nausea
Vomiting
Stomach ache
Constipation
Finding it difficult to breathe
​Fainting

Get emergency medical help if you have any signs of an allergic reaction to Dilaudid: 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.
Call your doctor at once if you have:

• noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
• confusion, feelings of extreme happiness or sadness;
• severe weakness or drowsiness;
• a light-headed feeling, like you, might pass out;
• infertility missed menstrual periods;
• impotence, sexual problems, loss of interest in sex; or
• 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.
Hydromorphone is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
Common Dilaudid side effects may include:

• constipation, nausea, vomiting, and 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).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.