Dilaudid morphine equivalent


Dilaudid (hydromorphone hydrochloride) and morphine are both opioid narcotic pain relievers. Both Dilaudid and morphine are available as generic drugs. Dilaudid is a brand name for hydromorphone. Brand names of morphine include Astramorph, Duramorph, Infumorph, and Avinza.

Approximate dose conversions for commonly used opioids (refer to important notes below)
Morphine Hydromorphone (Dilaudid)
Hydromorphone 7.5 mg
Oxycodone 20 mg
Oxymorphone 10 mg

21 more rows


Which is stronger morphine or Dilaudid?

On the surface, Dilaudid is chemically similar to morphine. However, Dilaudid is stronger than morphine since people actually require a smaller quantity of hydromorphone to receive the same pain-relieving effects of larger doses of morphine.

Is morphine stronger than Dilaudid?

The following are some of the differences between Dilaudid vs. Morphine. Is Dilaudid Stronger than Morphine? The simple answer to this is yes. Putting Hydromorphone vs. Morphine, Hydromorphone is about four to five times more potent. This means that a much smaller dose of Hydromorphone is required to get the same effect as Morphine.

Is diludid the same as morphine?

Morphine is derived from the opium poppy, while Dilaudid is derived from morphine. Both drugs are used primarily to treat extreme pain, and both get this ability primarily from opium poppies, a specific type of plant known to have narcotic effects.

Is Dilaudid in the same family as morphine?

Morphine is derived from the opium poppy. Dilaudid® is a brand of hydromorphone, which most experts class as a “semi-synthetic” drug. It is a member of the morphine family but wasn’t created till nearly 100 years after morphine itself was isolated and developed into a mainstream medication.


What is the dosage of Dilaudid vs. morphine?

Immediate-release tablets: Take 2 to 4 mg tablets by mouth every 4 to 6 hours as needed. Increase to 8 mg after careful observation and if needed to control pain.

What are Dilaudid and morphine?

Dilaudid (hydromorphone hydrochloride) is an opioid narcotic pain reliever similar to oxycodone, morphine, methadone, fentanyl, and other opioids. Hydromorphone, like other opioids, stimulates receptors on nerves in the brain to increase the threshold to pain and reduce the perception of pain.

What are the side effects of Dilaudid and morphine?

Dilaudid-HP Injection should not be confused with other types of Dilaudid injections or other opioids, as overdose and death could result.

What happens if you confuse mg and ml?

Avoid dosing errors from confusion between mg and mL when dispensing, prescribing, or administering the oral solution. Dosing errors can result in accidental overdose and death.

How much epidural is given?

For epidural administration, 5 mg may be administered initially, with a maximum dose of 10 mg over 24 hours.

How to report side effects of prescription drugs?

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

Can hydromorphone cause respiratory depression?

Patients should be monitored closely because serious, life-threatening, or fatal respiratory depression may occur. Prolonged use of hydromorphone during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated.

What are the patient specific factors in the equianalgesic table?

Patient-specific factors: No equianalgesic table is able to take into account patient-specific factors — primarily hepatic function, renal function, and age. Opioid metabolism and excretion do differ among the opioids; therefore, alterations in drug disposition will alter the relative potencies of different opioids.

Is equianalgesic table the best?

While these equianalgesic tables are current the “best” solution, their limitations should be emphasized:

Is there a lack of data regarding equianalgesic conversions?

There is an overall lack of data regarding most equianalgesic conversions, and there is a significant degree of interpatient variability. For this reason, reasonable clinical judgment, breakthrough (rescue) opioid regimens, and dose titration are of paramount importance. reasonable clinical judgment, breakthrough (rescue) opioid regimens, …

Why is buprenorphine not included in the calculator?

Buprenorphine is not included in the calculator because it is a partial agonist and morphine equivalent doses are uncertain. Please refer to the label for dosing parameters.

Can a patient be co-prescribed with benzodiazepines?

Is the patient co-prescribed benzodiazepines? Yes No

Does methadone cause cardiac arrhythmias?

In addition, methadone is associated with cardiac arrhythmias along with QT prolongation on the electrocardiogram.

Why do you switch analgesics?

There may be several possible reasons to switch analgesics including: drug cost, availability, lack of effectiveness of the current drug, or to minimize adverse effects . This tool also provides precise control over methadone conversions as well as corrections for incomplete cross-tolerance.

Is equianalgesic ratio crude?

Published equianalgesic ratios are considered crude estimates at best and therefore it is imperative that careful consideration is given to individualizing the dose of the selected opioid. Dosage titration of the new opioid should be completed slowly and with frequent monitoring.


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