You should not take Dilaudid 4mg if you have severe breathing problems, or a blockage in your stomach or intestines.
Dilaudid can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use Dilaudid 4mg in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose.
You should not take Dilaudid if you have ever had an allergic reaction to hydromorphone or other narcotic medicines, or if you have:
Do not use Dilaudid if you have used a 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.
You may not be able to take Dilaudid if you are NOT already being treated with a similar opioid (narcotic) pain medicine and are tolerant to it. Talk with your doctor if you are not sure you are opioid-tolerant.
To make sure hydromorphone is safe for you, tell your doctor if you have:
- any type of breathing problem or lung disease;
- a history of head injury, brain tumor, or seizures;
- a history of drug abuse, alcohol addiction, or mental illness;
- urination problems;
- liver or kidney disease;
- sulfite allergy;
- Addison’s disease or other adrenal gland disorders;
- problems with your gallbladder, pancreas, or thyroid; or
- if you use a sedative like Valium – diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others;
It is not known whether this medicine will harm an unborn baby. 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.
Hydromorphone can pass into breast milk and may harm a nursing baby.
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.
- weak or shallow breathing;
- 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.
Common Dilaudid 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).