Ask an Expert: Dilaudid addiction

Addiction and Substance Abuse

Dilaudid addiction
08/10/2006

Question:

Is recovery from iv dilaudid addiction more difficult than recovery from other opiates?

Answer:

Dilaudid is an analgesic narcotic that is 8 times more potent than morphine on a milligram basis. The severity of symptoms of withdrawal are related to the amount and duration of use.

Dilaudid is often called "drug store heroin" on the streets. It inhibits ascending pain pathways in the Central Nervous System, increases the pain threshold, and alters the perception of pain. It is highly addictive and tolerance develops rapidly.

Addiction is a major risk with prolonged use (over two to three weeks). Even moderate doses of some narcotics can result in a fatal overdose. With increasing doses of Dilaudid, individuals may first feel restless and nauseous and then progress to loss of consciousness and abnormal breathing. Other risks include withdrawal symptoms that may last for months.

Dilaudid withdrawal symptoms can include:

insomnia

profuse sweating

muscle spasm

tremors

restlessness

yawning

gooseflesh

irritability

weakness

twitching and muscle spasms

kicking movements

severe backache

abdominal and leg pains and cramps

hot and cold flashes

nausea

vomiting

diarrhea

sneezing

increased blood pressure, pulse and respiratory rate.

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Response by:

Deborah L Hoy, CNS
Clinical Instructor at the College of Nursing
College of Nursing
The Ohio State University