Home HealthTopics Health Centers Reference Library Research
Join us on Facebook Join us on Facebook Share on Facebook

Pain Management

Pain Pump for Pain Management

10/23/2008

Question:

I recently had an intracauthal pain pump inserted to manage my pain and the medication in my pump is Dilaudid. I am on 1.3 milligrams a day. Is this a high dose?

Answer:

"High dose" is a relative term. In general, Dilaudid is a more potent opioid than Morphine and may be safer. A consensus guideline paper recommends not exceeding 4 mg of dilaudid intrathecally per day. However, using the minimum dose that results in pain relief is the safest approach. Younger patients may get tolerance to narcotics faster and more often than older patients. Often, a second drug is added intrathecally to achieve better pain relief and mitigate increasing the narcotic. 

For more information:

Go to the Pain Management health topic, where you can:

Response by:

Salim M Hayek, MD, PhD Salim M Hayek, MD, PhD
Associate Professor of Anesthesiology & Perioperative Medicine
School of Medicine
Case Western Reserve University