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hydromorphone (rectal) (cont.)

What should I discuss with my healthcare provider before using hydromorphone rectal (Dilaudid)?

Do not use this medication if you are allergic to hydromorphone, or if you have breathing problems such as an asthma attack.

Before using hydromorphone, tell your doctor if you are allergic to any drugs, or if you have:

If you have any of these conditions, you may not be able to use hydromorphone, or you may need a dosage adjustment or special tests during treatment.

Hydromorphone may be habit-forming and should be used only by the person it was prescribed for. Hydromorphone should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Hydromorphone can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give this medicine to anyone younger than 18 years old.

Older adults may be more sensitive to the effects of this medicine.

How should I use hydromorphone rectal (Dilaudid)?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Never use more hydromorphone than is prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Do not take hydromorphone rectal by mouth. It is for use only in your rectum.

This medication comes with patient instructions for using the rectal suppository. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Remove the outer wrapper from the suppository before inserting it. Avoid handling the suppository too long or it will melt in your hands.

For best results from the suppository, lie down after inserting it and hold in the suppository for a few minutes. The suppository will melt quickly once inserted and you should feel little or no discomfort while holding it in. Avoid using the bathroom just after you have inserted the suppository.

Drink 6 to 8 full glasses of water daily to help prevent constipation while you are using hydromorphone. Ask your doctor about ways to increase the fiber in your diet. Do not use a stool softener (laxative) without first asking your doctor.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using hydromorphone. You may need to stop using the medicine for a short time.

You may have withdrawal symptoms when you stop using this medication after using it over a long period of time. Withdrawal symptoms include feeling restless or irritable, blurred vision, runny nose, watery eyes, yawning, sweating, tingly feeling under your skin, sleep problems, weakness, muscle spasms, severe back or stomach pain, muscle cramps, hot and cold flashes, nausea, vomiting, diarrhea, weight loss, and fast heart rate. Do not stop using hydromorphone suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

Store the suppositories in the refrigerator and do not allow them to freeze.

Report Problems to the Food and Drug Administration

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.

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