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Thursday, September 18, 2014
Pain Pump for Pain Management
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?
"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.
Salim M Hayek, MD, PhD
Associate Professor of Anesthesiology & Perioperative Medicine
School of Medicine
Case Western Reserve University