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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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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Hydromorphone is believed to work by activating opioid receptors, mainly in the brain and spinal cord.
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Hydromorphone and related opioids produce their major effects on the central nervous system and gastrointestinal tract.
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Hydromorphone is available in parenteral, rectal, subcutaneous, and oral formulations, and can be administered via epidural or intrathecal injection.
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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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Hydromorphone is extensively metabolized in the liver to hydromorphone-3-glucoronide, which has no analgesic effects.
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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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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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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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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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