Dilaudid is the brand name for the generic drug hydromorphone hydrochloride. Oxycodone is the main ingredient in the brand-name drugs OxyContin and Percocet. Hydromorphone hydrochloride and oxycodone are somewhat similar. Both can be given in tablet form and are available as liquids. Both drugs also have extended-release forms. This form is given to people who have taken opioids for a long time and need a higher, controlled dose of the drug to be comfortable. Dilaudid and other versions of hydromorphone are stronger drugs than oxycodone.
These drugs are often used for serious pain caused by surgery, broken bones , or cancer. The first step is non-opioid analgesic medications. These drugs are available without a prescription, and include aspirin , ibuprofen , and acetaminophen Tylenol. 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. 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:. 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.
Both drugs affect your ability to drive or use machinery. Oxymorphone is sold under the brand name Opana. Although it has medicinal use in treating moderate to severe pain, it still has a high potential for abuse. It is usually dispensed in pill form, however, it also comes as a liquid made for injection. Those who abuse oxymorphone might swallow the pills, snort them, or inject them. They can also be obtained illicitly on the street. Methadone is strictly regulated because it is prescribed to treat opioid addiction and to help reduce opioid withdrawal symptoms.
Methadone can be swallowed or injected. After all, it has a similar chemical structure to that of morphine and heroin. In addition, it can make users feel euphoric and sedated. Since methadone is used to treat opioid use disorders, some may believe that the drug is safe.
Unfortunately, this is not the case. When methadone is abused, users are at risk of overdose and other adverse health reactions. Methadone should only be used under careful professional supervision. Next on the list of the strongest opioids is Oxycodone.
Oxycodone is sold under the brand names Percocet, Roxicodone, and Oxycontin. It is one of the most common opioids that is prescribed to treat moderate to severe pain. Despite the fact that it is prescribed often, it still has a high potential for abuse due to its calming and sedating side effects.
Morphine is derived naturally from the poppy plant. Even though it is not synthetic, it is still potent. The potency of morphine is similar to the potency of Oxycodone. It is usually prescribed in the place of other opioids if they are ineffective at treating pain. Morphine can be swallowed or injected, although injection is preferred among people who abuse it due to the near-instantaneous effects it can produce.
Hydrocodone is similar in potency to morphine and oxycodone. It is, by far, the most commonly prescribed opioid medication in the United States. Each drug can also cause respiratory depression slow and shallow breathing. If taken on a routine basis, they each can also cause dependence where you need to take a drug in order to feel normal.
Hydromorphone and morphine are narcotics that work in the same way, so their drug interactions are also similar. Using hydromorphone or morphine with one of these drugs raises your risk for severe constipation and not being able to urinate. You should talk to your healthcare provider before using hydromorphone or morphine with any of these drugs.
Each drug may have other drug interactions that can increase your risk for serious side effects. If you have certain health issues, they may change how hydromorphone and morphine work in your body. It may not be safe for you to take these drugs, or your healthcare provider may need to monitor you more closely during your treatment. You should talk to your healthcare provider before taking hydromorphone or morphine if you have breathing problems such as chronic obstructive pulmonary disease COPD or asthma.
These drugs have been linked with serious breathing problems that can cause death. You should also talk about your safety if you have a history of drug abuse or addiction.
These drugs can be addictive and increase your risk of overdose and death. Examples of other medical conditions you should discuss with your healthcare provider before taking hydromorphone or morphine include:. Also, if you have an abnormal heart rhythm , talk to your healthcare provider before using morphine.
It may make your condition worse. Dilaudid and oxycodone are prescription opioids, a class of strong pain-relieving drugs.
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