10 Facts About Hydromorphone

1.

Hydromorphone, known as dihydromorphinone, and sold under the brand name Dilaudid among others, is an opioid used to treat moderate to severe pain.

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2.

Hydromorphone is believed to work by activating opioid receptors, mainly in the brain and spinal cord.

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3.

Hydromorphone and related opioids produce their major effects on the central nervous system and gastrointestinal tract.

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4.

Hydromorphone is available in parenteral, rectal, subcutaneous, and oral formulations, and can be administered via epidural or intrathecal injection.

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5.

Hydromorphone has been administered via nebulization to treat shortness of breath, but it is not used as a route for pain control due to low bioavailability.

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6.

Hydromorphone is extensively metabolized in the liver to hydromorphone-3-glucoronide, which has no analgesic effects.

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7.

Hydromorphone is made from morphine either by direct re-arrangement or reduction to dihydromorphine (usually via catalytic hydrogenation), followed by oxidation with benzophenone in presence of potassium tert butoxide or aluminium tert butoxide (Oppenauer oxidation).

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8.

Hydromorphone is made from morphine via catalytic hydrogenation and is produced in trace amounts by human and other mammalian metabolisms of morphine.

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9.

Hydromorphone is known in various countries around the world by the brand names Hydal, Dimorphone, Exalgo, Sophidone LP, Dilaudid, Hydrostat, Hydromorfan, Hydromorphan, Hymorphan, Laudicon, Opidol, Palladone, Hydromorph Contin, and others.

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10.

Hydromorphone is listed under the German Betaubungsmittelgesetz as a Betaubungsmittel in the most restricted schedule for medicinal drugs; it is controlled similarly in Austria under the SMG and the Swiss BetmG.

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